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NPI Code Detail

MEDICARE: KENNETH WILLIAMS MD

MEDICARE: KENNETH WILLIAMS MD
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
1207R00000XInternal Medicine Physician24440OK
2208000000XPediatrics Physician24440OK
3208M00000XHospitalist Physician24440OK

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 : 1497896385
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH WILLIAMS MD
Provider Business Mailing Address
First Line : 6600 S YALE AVE STE 1400
Second Line :
City : TULSA
State : OK
Zip : 74136-3331
Country : US
Telephone Number : 888-247-0125
Fax Number : 918-502-8210
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-502-1900
Fax Number : 918-494-6303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 01/11/2026

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Directions to “ KENNETH WILLIAMS MD” Practice Location

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