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NPI Code Detail

MEDICARE: KAYLA WILLIAMS

MEDICARE: KAYLA WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorNM
2104100000XSocial WorkerS.2207301.MILOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205302684
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA WILLIAMS
Provider Business Mailing Address
First Line : 3146 PATSIE DR
Second Line :
City : BEAVERCREEK
State : OH
Zip : 45434-6032
Country : US
Telephone Number : 320-314-2278
Fax Number :
Provider Business Practice Location Address
First Line : 765 N DETROIT ST
Second Line :
City : XENIA
State : OH
Zip : 45385-1960
Country : US
Telephone Number : 866-534-2639
Fax Number : 800-480-7578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2018
Last Update Date : 05/19/2026

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Directions to “ KAYLA WILLIAMS ” Practice Location

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