Individual
KALIQ WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(917) 569-6816
Mailing address
1585 3RD ST, FORT POLK, LA 71459-5102
(917) 569-6816
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
1167
NE
Other
Enumeration date
05/08/2012
Last updated
07/25/2016
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