Healthcare Provider Details

I. General information

NPI: 1386453215
Provider Name (Legal Business Name): KEM'MICHELLE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3308 TULANE AVE STE 407
NEW ORLEANS LA
70119-7158
US

IV. Provider business mailing address

4301 TULANE AVE APT 251
NEW ORLEANS LA
70119-6753
US

V. Phone/Fax

Practice location:
  • Phone: 504-821-6830
  • Fax:
Mailing address:
  • Phone: 504-821-6830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number18983
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: