Individual
KATHY DENISE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11100 NE 54TH ST, SPENCER, OK 73084-7005
(405) 501-6450
Mailing address
PO BOX 762, SPENCER, OK 73084-0762
(405) 501-6450
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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