Kenneth Tyrone Williams, CT

Primary specialty

Computed Tomography Radiologic TechnologistTaxonomy code 2471C3401X

License

195466 Issued in AZ

Practice address

167 N Main St
Tuba City, AZ 86045

Phone

(928) 283-2039

NPI assigned

Nov 17, 2010

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

State licenses

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1912209362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23265 W MOHAVE ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853264031",
            "telephone_number": "928-283-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 N MAIN ST",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-283-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "TYRONE",
        "name_prefix": "Mr.",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-17",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3401X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Computed Tomography",
            "state": "AZ",
            "license": "195466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen K Williams, PA
• Darlene Jane Williams
• David G.L. Williams, RDCS, RUT, RDMS
• Deborah S. Williams, RN
• Gladys Asabre Williams, PHARM.D
• Lakaysha Shanta Williams, RN
• Lucinda Williams
• Andew Williamson, RN
• Carol A. Williamson
• Dawn D Williamson, RN

• Radiologic Technologist in Tuba City, AZ
• Providers in Tuba City, AZ by specialty
• Radiologic Technologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.