Individual
J KELL WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 COLUMBIA DR, SUITE 529, TAMPA, FL 33606-3589
(813) 259-8500
Mailing address
PO BOX 197770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME40431
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30494
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/16/2006
Last updated
02/29/2008
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