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NPI Code Detail

MEDICARE: KENDRA R WILLIAMS

MEDICARE:   KENDRA R 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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1487494613
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA R WILLIAMS
Provider Business Mailing Address
First Line : 3032 BRINKLEY STATION DR
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-6175
Country : US
Telephone Number : 757-403-8998
Fax Number :
Provider Business Practice Location Address
First Line : 3032 BRINKLEY STATION DR
Second Line :
City : TEMPLE HILLS
State : MD
Zip : 20748-6175
Country : US
Telephone Number : 757-403-8998
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2024
Last Update Date : 05/27/2024

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Directions to “ KENDRA R WILLIAMS ” Practice Location

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