Individual
DR. KEVIN MICHAEL MCWILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
475 MCLAWS CIR, SUITE 2, WILLIAMSBURG, VA 23185-6353
(757) 259-1233
Mailing address
475 MCLAWS CIR, SUITE 2, WILLIAMSBURG, VA 23185-6353
(757) 259-1233
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810002524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
494835-1
MEDICAID WAIVER
VA
05
—
770913-7
—
VA
Enumeration date
10/20/2006
Last updated
07/08/2007
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