Provider Demographics
NPI:1467717751
Name:WILLIAMS-BUDHAN, KYMLYN JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:KYMLYN
Middle Name:JANE
Last Name:WILLIAMS-BUDHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KYMLYN
Other - Middle Name:JANE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:102 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-1961
Mailing Address - Country:US
Mailing Address - Phone:270-707-2100
Mailing Address - Fax:270-707-2103
Practice Address - Street 1:222 W 18TH ST
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-1963
Practice Address - Country:US
Practice Address - Phone:270-886-4625
Practice Address - Fax:270-886-6619
Is Sole Proprietor?:No
Enumeration Date:2012-07-12
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY47800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program