Healthcare Provider Details

I. General information

NPI: 1417426495
Provider Name (Legal Business Name): DANIEL KYLE WILLIAMS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 02/15/2023
Certification Date: 02/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 4TH ST STE 1D
ALEXANDRIA LA
71301-8421
US

IV. Provider business mailing address

201 4TH ST STE 1D
ALEXANDRIA LA
71301-8421
US

V. Phone/Fax

Practice location:
  • Phone: 318-769-3000
  • Fax:
Mailing address:
  • Phone: 318-769-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number129750
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number229120
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: