Organization
A MOMMYS PROMISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYSHAWN WILLIAMS (OWNER)
(414) 526-8077
Entity
Organization
Contact information
Practice address
4822 N 66TH ST, MILWAUKEE, WI 53218-4032
(414) 526-8077
Mailing address
4822 N 66TH ST, MILWAUKEE, WI 53218-4032
(414) 526-8077
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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