Healthcare Provider Details

I. General information

NPI: 1760328116
Provider Name (Legal Business Name): KAMALA LYNN WILLIAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8337 BREWSTER MILL CIR
ANTELOPE CA
95843-3745
US

IV. Provider business mailing address

8337 BREWSTER MILL CIR
ANTELOPE CA
95843-3745
US

V. Phone/Fax

Practice location:
  • Phone: 916-899-1456
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95386248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: