Individual
DR. KENNETH D WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28875 LORAIN RD, NORTH OLMSTED, OH 44070-4043
(440) 777-1244
(440) 777-1230
Mailing address
3683 GARDEN CT, GROVE CITY, OH 43123-2906
(614) 801-1307
(614) 277-3503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC.3047
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203205
ANTHEM/BC/BS
OH
Enumeration date
10/02/2006
Last updated
05/01/2008
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