NPI 1063199776

Kelvin Tyrone Williams

Practitioner Driver Kingsland, GA

Practice location

Address: 551 Henrietta St, Kingsland, GA 31548-3233
Phone: (912) 322-4613

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 052191215 (GA)

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Registry record

NPI: 1063199776
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jul 2023
Record last updated: 4 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.