Healthcare Provider Details

I. General information

NPI: 1942276548
Provider Name (Legal Business Name): KRISTINA KALOR WILLIAMS DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTINA KALOR WILLIAMS DPM

II. Dates (important events)

Enumeration Date: 02/24/2006
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6510 KENILWORTH AVE STE 2600
RIVERDALE MD
20737-1346
US

IV. Provider business mailing address

6510 KENILWORTH AVE STE 2600
RIVERDALE MD
20737-1346
US

V. Phone/Fax

Practice location:
  • Phone: 301-699-6178
  • Fax: 301-699-8413
Mailing address:
  • Phone: 301-699-6178
  • Fax: 301-699-8413

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPO1000011
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: