MEDICARE: KIMBLEY L 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
1	343900000X	Non-emergency Medical Transport (VAN)	854103257

General Provider Information

NPI Number	:	1427765098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBLEY L WILLIAMS

Provider Business Mailing Address
First Line	:	9368 CEDAR CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2369
Country	:	US
Telephone Number	:	225-506-8409
Fax Number	:

Provider Business Practice Location Address
First Line	:	9368 CEDAR CT
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70812-2369
Country	:	US
Telephone Number	:	225-506-8409
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	03/02/2026

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Directions to “ KIMBLEY L WILLIAMS ” Practice Location

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