Individual
KEITH WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 525-6832
Mailing address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 525-6832
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113953
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/20/2023
Last updated
01/20/2023
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