Provider Demographics
NPI:1942244074
Name:WILLIAMS, KAREN M (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2410 COMMERCE CT SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-5679
Mailing Address - Country:US
Mailing Address - Phone:256-539-7722
Mailing Address - Fax:256-539-1816
Practice Address - Street 1:2410 COMMERCE CT SW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-5679
Practice Address - Country:US
Practice Address - Phone:256-539-7722
Practice Address - Fax:256-539-1816
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2009-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36268207Q00000X
AL23628207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H73402Medicare UPIN