Kym D Williams
Individual provider Active NPI Speech-Language Pathologist · Oakland, TN
NPI 1245425487 · NPPES record last updated Jul 12, 2024
Key facts
- NPI
- 1245425487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3298 (TN)
- Practice address
- 435 Tate Dr
Oakland, TN 38060-6051 - Phone
- (630) 779-0383
- NPI assigned
- Sep 11, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3298 | TN | MD | Mental Health Counselor |
| 146007955 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab at Your Place | Past | Accepting new patients | |
| Rehab at Your Place, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146007955 | IL | |
| Speech-Language Pathologist | 235Z00000X | 3298 | TN | Yes |
Addresses
Primary practice location
435 Tate Dr
Oakland, TN 38060-6051
Mailing address
435 Tate Dr
Oakland, TN 38060-6051
Phone (630) 779-0383
Other providers in Oakland, TN
- Walgreen Co
- Alice Sheets Walker
- Laura T Walker
- Jessica Whitfield
- Cheryl Hall Wideman
- Charles Winford
- Carol Wright Smith
All providers in Oakland, TN · Speech-Language Pathologist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.