Provider Demographics
NPI:1346383973
Name:WILLIAMS, KRISTEN RAGNER (MD)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:RAGNER
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2040 VIBORG RD
Mailing Address - Street 2:110
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-2272
Mailing Address - Country:US
Mailing Address - Phone:805-693-1938
Mailing Address - Fax:805-693-1948
Practice Address - Street 1:2040 VIBORG RD
Practice Address - Street 2:110
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-2272
Practice Address - Country:US
Practice Address - Phone:805-693-1938
Practice Address - Fax:805-693-1948
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG35565208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91696Medicare UPIN