NPI 1083072078

Kendric Williams

Practitioner Adult Care Home Facility Milwaukee, WI

Practice location

Address: 5734 N 60th St, Milwaukee, WI 53218-2039
Phone: (414) 477-1055

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1083072078
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Feb 2016
Record last updated: 4 Feb 2016

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.