Individual
KENNETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3317 BLAINE ST NE, WASHINGTON, DC 20019-1328
(202) 710-7979
Mailing address
1618 TULIP AVE, DISTRICT HEIGHTS, MD 20747-2603
(240) 729-1601
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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