Kathleen Boren Williams, MCSD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

51747 Issued in TX

Practice address

407 Canyon Creek Dr
Suite 108
Temple, TX 76502-3291

Phone

(254) 778-3736

Fax

(254) 771-2629

NPI assigned

Feb 16, 2007

Last updated

Dec 2, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1972647949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N COMMONS DR STE 200",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047940",
            "telephone_number": "630-303-5380",
            "fax_number": "630-303-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CANYON CREEK DR",
            "address_2": "SUITE 108",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023291",
            "telephone_number": "254-778-3736",
            "fax_number": "254-771-2629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2409 W Stan Schlueter Loop",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765493659",
            "country_code": "US",
            "telephone_number": "254-680-4327",
            "fax_number": "254-634-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHLEEN",
        "middle_name": "BOREN",
        "name_prefix": "Ms.",
        "credential": "MCSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "TX",
            "license": "51747",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "51747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith D Williams, LMT
• Hermine Williams
• Joanna Wall Williams, N.P.
• John Williams, MD
• Joshua Edward Williams, PTA
• Kendra Elaine Williams, CLINICAL CPHT
• Kenneth Dean Williams, M.D.
• Lindsey Jennifer Williams, CRNA
• Marissa Williams
• Melody Mallory Williams, PA-C

• Audiologist in Temple, TX
• Providers in Temple, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.