Provider Demographics
NPI:1043827587
Name:WILLIAMS, KATRENA HIGGINBOTHAM
Entity Type:Individual
Prefix:
First Name:KATRENA
Middle Name:HIGGINBOTHAM
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:866 HIGGINBOTHAM RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:LA
Mailing Address - Zip Code:70441-4101
Mailing Address - Country:US
Mailing Address - Phone:225-937-0914
Mailing Address - Fax:
Practice Address - Street 1:866 HIGGINBOTHAM RD
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:LA
Practice Address - Zip Code:70441-4101
Practice Address - Country:US
Practice Address - Phone:225-937-0914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)