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NPI Code Detail

MEDICARE: MRS. KASINEE WILLIAMS PA-C

MEDICARE:  MRS. KASINEE  WILLIAMS  PA-C
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
1363A00000XPhysician AssistantPA20458CA

General Provider Information

NPI Number : 1831476779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KASINEE WILLIAMS PA-C
Provider Business Mailing Address
First Line : 811 E EMERSON AVE
Second Line :
City : MONTEREY PARK
State : CA
Zip : 91755-2009
Country : US
Telephone Number : 626-679-0373
Fax Number :
Provider Business Practice Location Address
First Line : 2727 NORTH PECK RD
Second Line :
City : EL MONTE
State : CA
Zip : 91733
Country : US
Telephone Number : 626-350-2196
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2011
Last Update Date : 11/18/2021

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Directions to “ MRS. KASINEE WILLIAMS PA-C” Practice Location

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