Provider Demographics
NPI:1780945402
Name:WILLIAMS, KAREN KEEL
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KEEL
Last Name:WILLIAMS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 LORRAINE RD
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-6101
Mailing Address - Country:US
Mailing Address - Phone:228-864-2121
Mailing Address - Fax:228-678-0950
Practice Address - Street 1:9000 LORRAINE RD
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-6101
Practice Address - Country:US
Practice Address - Phone:228-864-2121
Practice Address - Fax:228-678-0950
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-30
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist