Kyle Alex Williams

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

5619 Hazel Ave
Philadelphia, PA 19143-1935

Phone

(215) 292-6624

NPI assigned

Feb 26, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1467218743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 HAZEL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431935",
            "telephone_number": "215-292-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 HAZEL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191431935",
            "telephone_number": "215-292-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KYLE",
        "middle_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Williams Jr.
• Kevin Jon Williams, MD
• Khadijah Williams
• Khadir Williams
• Kim Laray Williams
• Kyra C Williams, MD
• Lassiter M Williams
• Latasha Williams, LPN
• Latisha Williams, PHARMD
• Lauren Williams

• Non-emergency Medical Transport (VAN) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.