Ms Kimberly Williams, is a
Rehabilitation Practitioner based in Lodi, California. Ms Kimberly Williams is licensed to practice in * (Not Available) (license number ) and her current practice location is
1111 W Tokay St, Lodi, California. She can be reached at her office (for appointments etc.) via phone at
(888) 474-1602.
NPI number for Ms Kimberly Williams is 1417131582 and her current mailing address is 9823 Cody Way, Stockton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417131582.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Williams |
|---|
| Gender | Female |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 1111 W Tokay St, Lodi, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417131582
- Provider Enumeration Date: 12/24/2007
- Last Update Date: 02/28/2026
Medical Identifiers
Medical identifiers for Ms Kimberly Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417131582 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 051081 (California) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kimberly Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ms Kimberly Williams, 9823 Cody Way, Stockton, CA 95209-1220 Ph: (510) 830-7047 | Ms Kimberly Williams, 1111 W Tokay St, Lodi, CA 95240-3965 Ph: (888) 474-1602 |
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