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Individual

KENNETH WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
1195
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018768401
TX
Enumeration date
06/20/2005
Last updated
04/16/2010
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