Individual
KENNETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1954 E HOUSTON ST, RM 202, SAN ANTONIO, TX 78202-2953
(210) 225-5804
(210) 225-1046
Mailing address
1954 E HOUSTON ST, RM 202, SAN ANTONIO, TX 78202-2953
(210) 225-5804
(210) 225-1046
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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