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NPI Code Detail

MEDICARE: KARI LYNN WILLIAMS-SHIPMAN

MEDICARE:   KARI LYNN WILLIAMS-SHIPMAN
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
1225100000XPhysical Therapist23989CA

General Provider Information

NPI Number : 1740706050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI LYNN WILLIAMS-SHIPMAN
Provider Business Mailing Address
First Line : 8458 PATINA WAY
Second Line :
City : ELK GROVE
State : CA
Zip : 95624-1289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : CCS-BOWLING GREEN MTU
Second Line : 4211 TURNBRIDGE DRIVE
City : SACRAMENTO
State : CA
Zip : 95823
Country : US
Telephone Number : 916-394-0882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2017
Last Update Date : 08/17/2017

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Directions to “ KARI LYNN WILLIAMS-SHIPMAN ” Practice Location

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