MEDICARE: KENNEDY WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	3-001810	AL

General Provider Information

NPI Number	:	1265275192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNEDY WILLIAMS

Provider Business Mailing Address
First Line	:	2844 LINCOLN AVE
Second Line	:
City	:	ALFORD
State	:	FL
Zip	:	32420-6201
Country	:	US
Telephone Number	:	850-272-0685
Fax Number	:

Provider Business Practice Location Address
First Line	:	3144 ROSS CLARK CIR
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-3038
Country	:	US
Telephone Number	:	334-678-9123
Fax Number	:	334-678-9124

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	03/25/2026

Similar Medicare Providers

1902040090 — MRS. CINDY RUTH HEMENDINGER CRNP
Practice Location Address:

3124 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-678-9023
Practice Fax: 334-678-9024

1093070187 — OCCMED SOLUTIONS LLC
Practice Location Address:

3124 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-678-9123
Practice Fax:

1184090359 — AMY ROSELIUS
Practice Location Address:

3124 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-678-9123
Practice Fax: 334-678-9124

1518510650 — JESSLYN SMITH
Practice Location Address:

3144 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-678-9123
Practice Fax:

1629629852 — ASHLEY NICOLE THOMAS MSN, APRN, FNP-C
Practice Location Address:

3138 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-504-7014
Practice Fax:

1184249880 — DR. JOEY SASSER DO
Practice Location Address:

3144 ROSS CLARK CIR
DOTHAN, AL
36303-3038

Practice Phone: 334-791-3355
Practice Fax: 334-923-4264

Directions to “ KENNEDY WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.