Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 01039204A | IN |
N | 207W00000X | Ophthalmologist | 036068962 | IL |
NPI | 1043216732 |
---|---|
Provider Name | Dr. Ann Katherine Williams Md |
First Address | Hammond, IN 46324-1410 |
Second Address | Hammond, IN 46324-1410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2005 |
Last Update Date | 03/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100465760 | (05) | IN |
E24396 | (02) |