MR. KENNETH TYRONE WILLIAMS (NPI# 1912209362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912209362 |
Entity Type | Individual |
Full Name | MR. KENNETH TYRONE WILLIAMS |
Credential | CT |
Practice Address |
167 N Main St Tuba City AZ 86045 |
Mailing Address |
23265 W Mohave St Buckeye AZ 85326-4031 |
Practice Telephone | 9282832039 |
Mailing Telephone | 9282832957 |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2471C3401X |
Radiologic Technologist Specialization: Computed Tomography |
195466 | AZ | Technologists, Technicians & Other Technical Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588194377 | Kenneth Joseph Williams | Counselor | 26055 Burlwood Ave., Denham Springs, LA 70726 | 2017-06-14 |
1225577166 | Kenneth Wanye Williams | Assistant Behavior Analyst | 3427 Cobblestone Dr, Spencer, OK 73084-3257 | 2017-02-13 |
1760934772 | Kenneth D Williams | Home Health Aide | 1044 Robert Rd, Old Forge, PA 18518-1106 | 2016-10-26 |
1194271452 | Kenneth Darnell Lorenzo Williams | Massage Therapist | 20311 Westmoreland Rd, Detroit, MI 48219-1476 | 2016-08-28 |
1386025674 | Kenneth James Williams | Dentist | 7014 E Camelback Rd # 509, Scottsdale, AZ 85251-1227 | 2015-06-12 |
1699040030 | Kenneth Williams | Counselor | 44 White River Ln, Defiance, MO 63341-1640 | 2012-03-19 |
1760650535 | Kenneth John Williams | Chiropractor | 154 N Market St, Frederick, MD 21701-5423 | 2008-02-14 |
1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
1710007711 | Kenneth Walter Williams | Optometrist | 3250 Gateway Blvd, #152, Prescott, AZ 86303-6849 | 2007-03-31 |
1699830414 | Kenneth Allan Williams | Pharmacist | 5730 Crawfordsville Rd, Indianapolis, IN 46224-3704 | 2006-12-22 |
Street Address |
167 N MAIN ST |
City | TUBA CITY |
State | AZ |
Zip Code | 86045 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093751125 | Henry John Leonard Van Dyk | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2006-06-20 |
1013529510 | Kristen Marie Becenti | Physical Therapist | 167 N Main St, Tuba City, AZ 86045-0600 | 2020-08-18 |
1063023539 | Emily Beskar | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2020-08-10 |
1831713957 | Taylor Rae Erhardt | Optometrist | 167 N Main St, Tuba City, AZ 86045 | 2020-06-04 |
1922651355 | Ashley Benford | Occupational Therapist | 167 N Main St, Tuba City, AZ 86045 | 2019-07-24 |
1053970715 | Emi Yamashita | Dietitian, Registered | 167 N Main St, Tuba City, AZ 86045 | 2019-06-06 |
1710444831 | Hayden Verl Poulson | Podiatrist | 167 N Main St, Tuba City, AZ 86045 | 2019-02-25 |
1841766847 | Eric Spears | Pharmacist | 167 N Main St, Tuba City, AZ 86045 | 2018-10-17 |
1730696287 | Dominique Emmanuel Browne | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2018-01-05 |
1093256208 | Karen Yin-chieh Jong | Internal Medicine | 167 N Main St, Tuba City, AZ 86045-0600 | 2017-03-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205434206 | Ambrielle Grace Begay | Specialist/Technologist | 48 Turquoise Drive, Tuba City, AZ 86045 | 2020-10-12 |
1063028124 | Fresenius Medical Care Tuba City, LLC | Clinic/Center | 50 S. Main Street, Ste 108, Tuba City, AZ 86045 | 2020-09-23 |
1609422484 | Rebekah Lee | Pharmacist | 167 North Main St. Tuba City Regional Health Care Corp., Tuba City, AZ 86045 | 2019-08-16 |
1861977050 | Kyle C Nguyen | Pharmacist | 3008 E. Birch Ave, Tuba City, AZ 86045 | 2018-10-03 |
1518419845 | John Glenn Ives | Pharmacist | 167 N, Main St, Tuba City, AZ 86045 | 2016-11-03 |
1497208433 | Toweringrock Non-emergency Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 1029 E. Tc North Side Trailer, 36.153821-111.233925, Tuba City, AZ 86045 | 2016-07-26 |
1699153270 | Hopi Assisted Living Facility Inc. | Point of Service | 21 Senior Lane Upper Hud Housing Moenkopi, Hopi Assisted Living, Tuba City, AZ 86045 | 2015-05-14 |
1306223870 | Mia Seimy | Driver | Adair Avenue Space #5, Tuba City, AZ 86045 | 2015-05-04 |
1033507587 | Tari Carroll | Home Health Aide | Tumbleweed Drive Nha E-3, Tuba City, AZ 86045 | 2015-01-07 |
1023452984 | Amanda Bancroft Burrage | Pediatrics | 167 Main St., Tuba City, AZ 86045 | 2013-04-23 |
Find all providers in zip 86045 |
Taxonomy Code | 2471C3401X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Radiologic Technologist |
Specialization | Computed Tomography |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659868024 | Bradley Hilken | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045-0600 | 2018-04-20 |
1437395605 | Jason C Boyd | Radiologic Technologist | 167 N. Main Street, Tuba City, AZ 86045 | 2008-12-18 |
1962665166 | Aaron Todd Carroll | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 86045 | 2008-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063952265 | Eli Asher Hawkins | Radiologic Technologist | 2820 Kiowa Blvd N Apt 102, Lake Havasu City, AZ 86404-1628 | 2017-03-07 |
1316394810 | Tracy Pike | Radiologic Technologist | 3600 W Orange Grove Rd # 164, Tucson, AZ 85741-2824 | 2016-05-16 |
1366652232 | Charles R Puett | Radiologic Technologist | 4541 S Silver Beech Ave, Tucson, AZ 85730-4030 | 2007-05-22 |
1750524963 | Paul A Drake | Radiologic Technologist | 200 West Hospital Drive, Whiteriver, AZ 85941 | 2009-04-17 |
1447389473 | Images for Health Corporation | Radiologic Technologist | 10240 W Indian School Rd, Ste #155, Phoenix, AZ 85037-5906 | 2007-03-05 |
1174674048 | Advanced Healthcare Resources Inc | Radiologic Technologist | 4212 N 16th St, Attn Ct Scanner, Phoenix, AZ 85016-5319 | 2007-01-16 |
Please comment or provide details below to improve the information on MR. KENNETH TYRONE WILLIAMS.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.