NPI 1801153291

Katema Nicole Williams

Practitioner Private Vehicle Saint Louis, MO

Practice location

Address: 4204 W San Francisco Ave, Saint Louis, MO 63115-2917
Phone: (314) 723-2626

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence GH8 GOG (MO)

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Registry record

NPI: 1801153291
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Apr 2012
Record last updated: 23 Apr 2012

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.