Provider Demographics
NPI:1811396716
Name:WILLIAMS, KIMBERLY J
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIM
Other - Middle Name:
Other - Last Name:HARTMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7746 COUNTY ROAD 140
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1792
Mailing Address - Country:US
Mailing Address - Phone:419-422-7525
Mailing Address - Fax:419-422-8766
Practice Address - Street 1:7746 COUNTY ROAD 140
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-1792
Practice Address - Country:US
Practice Address - Phone:419-422-7525
Practice Address - Fax:419-422-8766
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-5794235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist