Individual
KENNETH WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1938 CRESCENT MEADOW DRIVE, HOLLY SPRINGS, MS 38635-3238
(662) 252-1599
(662) 252-1986
Mailing address
538 J M ASH DR, HOLLY SPRINGS, MS 38635-3238
(662) 252-1599
(662) 252-1986
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13813
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011155
—
MS
Enumeration date
10/12/2006
Last updated
05/25/2011
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