Kenny Marshall Lee Williams

Primary specialty

DriverTaxonomy code 172A00000X

License

8001683656 Issued in MS

Practice address

4260 County Lake Rd
Starkville, MS 39759-8169

Phone

(662) 263-7290

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1841077195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4260 COUNTY LAKE RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598169",
            "telephone_number": "662-263-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 COUNTY LAKE RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397598169",
            "telephone_number": "662-263-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNY",
        "middle_name": "MARSHALL LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "800309316",
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MS",
            "license": "8001683656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyn F Williams, LPC, NCSC
• Alyka H Williams, M.S., CCC-SLP
• Amanda Beth Williams, LPTA
• Eileen Yvette Williams, BSN, RN, NCSN
• Jessica Seante Williams
• Rex B Williams, M.D.
• Connie N Wilson, MED
• Lula C. Wilson, C.F.N.P.
• Angela Nicole Winders, PHARMD
• Windham and Rentrop Urology PLLC (Starkville Urology)

• Driver in Starkville, MS
• Providers in Starkville, MS by specialty
• Driver in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.