Keith L Williams


Address: 1161 W River St, Suite 250, Boise, ID 83702-7064

Keith L Williams (NPI# 1174716005, PAC ID# 6305093188) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1174716005
PAC ID by PECOS 6305093188
Professional Enrollment ID I20120829000903
Full Name Keith L Williams
Address 1161 W River St
Suite 250
Boise
ID 83702-7064
Gender M
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 2010
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1161 W River St, Suite 250, Boise, ID 83702-7064

Organization Information

Office Location

Street Address 1161 W RIVER ST
SUITE 250
City BOISE
State ID
Zip 83702-7064

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Competitor

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City BOISE
Zip Code 83702
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty BOISE + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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