Individual
KURT W WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 ELY ST, KENNETT, MO 63857-1336
(573) 888-5925
Mailing address
1201 ELY ST, KENNETT, MO 63857-1336
(573) 888-5925
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/06/2019
Last updated
03/06/2019
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