Provider Demographics
NPI:1235317991
Name:WILLIAMS, KARI L (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:828 KIMBARK ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-4913
Mailing Address - Country:US
Mailing Address - Phone:303-775-4259
Mailing Address - Fax:303-678-3856
Practice Address - Street 1:828 KIMBARK ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-4913
Practice Address - Country:US
Practice Address - Phone:303-775-4259
Practice Address - Fax:303-678-3856
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5191111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor