Individual
KIM ALLAN WILLIAMS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 E CHESTNUT ST UNIT 310, LOUISVILLE, KY 40202-5703
(502) 588-4600
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4600
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036-065047
IL
207RC0000X
Cardiovascular Disease Physician
Primary
TP941
KY
207UN0901X
Nuclear Cardiology Physician
4301096846
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036065047
—
IL
Enumeration date
12/18/2006
Last updated
07/05/2022
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