Kevin Jon Williams
Endocrinologist (Diabetes Doctor)
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
Kevin Jon Williams
Endocrinologist (Diabetes Doctor)
3401 N Broad St
Philadelphia
, Pennsylvania 19140-5103
(215) 707-5599
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Kevin Jon Williams
- 2450 W Hunting Park Ave
- Philadelphia, PA
- Zip : 19129-1302
- Fax : (215) 707-5599
- Phone : (215) 707-4600
Second Address
- Kevin Jon Williams
- 3401 N Broad St
- Philadelphia, PA
- Zip : 19140-5103
- Fax : (215) 707-5599
- Phone : (215) 707-4600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD043247E | PA |
National Provider Identifier
| NPI | 1013143437 |
|---|---|
| Provider Name | Kevin Jon Williams |
| First Address | Philadelphia, PA 19129-1302 |
| Second Address | Philadelphia, PA 19140-5103 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2009 |
| Last Update Date | 12/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1022944020001 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.