Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 41190 | AL |
N | 207X00000X | Orthopaedic Surgeon | LL36963 | SC |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 41190 | AL |
NPI | 1316351836 |
---|---|
Provider Name | Kevin Alan Williams |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233-1711 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 03/09/2020 |