Kimberlee J Williams-Park, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS008520L Issued in PA

Practice address

2476 Swedesford Rd Ste 150
Malvern, PA 19355-1456

Phone

(844) 902-2345

NPI assigned

Dec 8, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Kimberlee J Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwilliamspark2127413@direct.trinity-health.org

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.

• House Call Medical Services, P.C.

  • Family Medicine Physician
  • Flourtown, PA
  • NPI 1720533854
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033278718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 SWEDESFORD RD STE 150",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551456",
            "telephone_number": "844-902-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 SWEDESFORD RD STE 150",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193551456",
            "telephone_number": "844-902-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Kelly Ln",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "PA",
            "postal_code": "190866237",
            "country_code": "US",
            "telephone_number": "610-566-5785",
            "fax_number": "610-566-5785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS-PARK",
        "first_name": "KIMBERLEE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS008520L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "WILLIAMS",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Medicine Physician in Malvern, PA
• Providers in Malvern, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.