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NPI Code Detail

MEDICARE: MS. KATHERINE ANN WILLIAMS BC-HIS

MEDICARE: MS. KATHERINE ANN WILLIAMS BC-HIS
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
1237700000XHearing Instrument Specialist1273MO

General Provider Information

NPI Number : 1659309862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE ANN WILLIAMS BC-HIS
Provider Business Mailing Address
First Line : 183 CONCORD PLAZA SHOPPING CTR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-1307
Country : US
Telephone Number : 314-849-9700
Fax Number :
Provider Business Practice Location Address
First Line : 183 CONCORD PLAZA SHOPPING CTR
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63128-1307
Country : US
Telephone Number : 314-849-9700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2006
Last Update Date : 07/08/2007

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