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NPI Code Detail

MEDICARE: KYLE WILLIAMS

MEDICARE: KYLE 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
1101YA0400XAddiction (Substance Use Disorder) CounselorWA

General Provider Information

NPI Number : 1962360347
Entity Type Code : Individual
Provider Name (Legal Business Name) : KYLE WILLIAMS
Provider Business Mailing Address
First Line : 11723 NE 117TH CT APT E628
Second Line :
City : KIRKLAND
State : WA
Zip : 98034-5339
Country : US
Telephone Number : 562-335-6982
Fax Number :
Provider Business Practice Location Address
First Line : 2133 3RD AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98121-2385
Country : US
Telephone Number : 206-223-3644
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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Directions to “ KYLE WILLIAMS ” Practice Location

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