Healthcare Provider Details

I. General information

NPI: 1639812431
Provider Name (Legal Business Name): KARLYN WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2120 CENTERPOINTE WEST DR
PRESCOTT AZ
86301-8487
US

IV. Provider business mailing address

1601 E HIGHLAND AVE APT 1092
PHOENIX AZ
85016-4682
US

V. Phone/Fax

Practice location:
  • Phone: 928-778-4581
  • Fax: 928-776-1872
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number77683
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: