Individual
KENNETH DEAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 OLIVESBURG RD, MANSFIELD, OH 44905-1228
(419) 526-2100
(419) 521-2815
Mailing address
448 FIVE POINTS RD., MANSFIELD, OH 44903
(419) 525-7391
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
34-00-5450
OH
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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