Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 20950 | NE |
NPI | 1003912080 |
---|---|
Provider Name | Dr. Karen D. Williams |
First Address | Omaha, NE 68114-3451 |
Second Address | Omaha, NE 68117-1332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1251 | BCBS (01) | NE |
24593 | MIDLANDS CHOICE (01) | NE |
47068937238 | (05) | NE |
97587 | BCBS (01) | IA |