Individual
TRACI KIP WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
8450 HICKMAN RD, SUITE 14, CLIVE, IA 50325-4313
(515) 276-9441
(515) 253-0948
Mailing address
8450 HICKMAN RD, SUITE 14, CLIVE, IA 50325-4313
(515) 276-9441
(515) 253-0948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
A05155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23229
WELLMARK BLUE CROSS BLUE
IA
01
—
243089
MIDLANDS CHOICE
IA
01
—
44-00218
UNITEDHEALTHCARE
IA
Enumeration date
09/16/2006
Last updated
07/08/2007
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