Provider Demographics
NPI:1831218205
Name:T K WILLIAMS PC
Entity type:Organization
Organization Name:T K WILLIAMS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT-PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:KIP
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:515-276-9441
Mailing Address - Street 1:8450 HICKMAN RD
Mailing Address - Street 2:STE 14
Mailing Address - City:CLIVE
Mailing Address - State:IA
Mailing Address - Zip Code:50325-4313
Mailing Address - Country:US
Mailing Address - Phone:515-276-9441
Mailing Address - Fax:515-243-0948
Practice Address - Street 1:8450 HICKMAN RD
Practice Address - Street 2:STE 14
Practice Address - City:CLIVE
Practice Address - State:IA
Practice Address - Zip Code:50325-4313
Practice Address - Country:US
Practice Address - Phone:515-276-9441
Practice Address - Fax:515-243-0948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05155111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA243089OtherMIDLANDS CHOICE
IA44-00218OtherUNITEDHEALTHCARE
IA23229OtherWELLMARK BLUE CROSS BLUE
IA23229OtherWELLMARK BLUE CROSS BLUE
IA44-00218OtherUNITEDHEALTHCARE
IAI8442Medicare ID - Type Unspecified