Individual
MR. KEVIN MICAHEL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 PRISCILLA AVE, PROVIDENCE, RI 02909-3051
(401) 741-1841
Mailing address
45 PRISCILLA AVE, PROVIDENCE, RI 02909-3051
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
68043
MA
164W00000X
Licensed Practical Nurse
Primary
LPN09901
RI
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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