Kenneth Lewis Williams, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3091473-1205 Issued in UT

Practice address

476 Williams Way
Ste a
Moab, UT 84532-2065

Phone

(435) 259-7121

Fax

(435) 259-3112

NPI assigned

Nov 23, 2005

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenw@mrhmoab.securechart.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moab Valley Healthcare, Inc

  dba Moab Regional Hospital

  • Critical Access Hospital
  • Moab, UT
  • NPI 1770513236
  Medicare reassignment
• Moab Family Medicine PC

  • Family Medicine Physician
  • Moab, UT
  • NPI 1528070489
  Authorized official Same address or phone
• Moab Valley Healthcare, Inc.

  dba Moab Regional Recovery Center

  • Methadone Clinic
  • Moab, UT
  • NPI 1285380394
  NPD
• Moab Valley Healthcare Inc

  dba Moab Regional Health Center

  • Certified Registered Nurse Anesthetist
  • Moab, UT
  • NPI 1700857398
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1023091931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY STE A",
            "address_2": "PO BOX 1270",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-259-7121",
            "fax_number": "435-259-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 WILLIAMS WAY",
            "address_2": "STE A",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322065",
            "telephone_number": "435-259-7121",
            "fax_number": "435-259-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "LEWIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "3091473-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whidbey Island Public Hospital District
• Christine Wibby
• Tara Lynn Wilder
• Grizel Williams
• Katherine Kallmeyer Williams, M.D.
• Tiffany Rose Williams
• Travis J Williams
• Trista Winder
• Jessiqua Zufelt

• Family Medicine Physician in Moab, UT
• Providers in Moab, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.