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MR. KENNETH TYRONE WILLIAMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CT

Contact information

Practice address
167 N MAIN ST, TUBA CITY, AZ 86045
(928) 283-2039
Mailing address
23265 W MOHAVE ST, BUCKEYE, AZ 85326-4031
(928) 283-2957

Taxonomy

Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
195466
AZ

Other

Enumeration date
11/17/2010
Last updated
11/17/2010
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