MR. KEVIN G WILLIAMS (NPI# 1639643885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639643885 |
| Entity Type | Individual |
| Full Name | MR. KEVIN G WILLIAMS |
| Practice Address |
4405 Largo Rd Upper Marlboro MD 20772-7837 |
| Practice Telephone | 2403382534 |
| Mailing Telephone | 2403382534 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LGP9144 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881131464 | Kevin Christian Williams | Technician | 90 Gault Way, Sparks, NV 89431-2322 | 2017-01-20 |
| 1588071187 | Kevin Williams | Driver | 18625 Muirland St, Detroit, MI 48221-2202 | 2014-07-15 |
| 1790126910 | Kevin James Williams | Registered Nurse | 109 Peoney Creek Rd, Tonasket, WA 98855-9510 | 2013-07-16 |
| 1285978734 | Kevin Scott Williams | Occupational Therapy Assistant | 310 E Wardell Dr, Pembroke, NC 28372-7997 | 2012-11-22 |
| 1225381635 | Kevin John Williams I | Social Worker | 9783 Lisa St, Romulus, MI 48174-1593 | 2012-10-23 |
| 1588982235 | Kevin Williams | Dentist | 2710 Bramble Dr, Monroe, LA 71201-2321 | 2010-05-05 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1093952699 | Kevin D Williams | Massage Therapist | 810 Ne 106th St, 6, Seattle, WA 98125-7348 | 2009-01-20 |
| 1922264555 | Kevin Micahel Williams | Licensed Practical Nurse | 45 Priscilla Ave, Providence, RI 02909-3051 | 2008-08-04 |
| 1669630067 | Kevin Williams | Emergency Medicine | 6400 Fannin St Ste 2250, Houston, TX 77030-1536 | 2008-06-02 |
| Street Address |
4405 LARGO RD |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20772-7837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669932562 | Damascus House Foundation | Community/Behavioral Health | 4405 Largo Rd, Upper Marlboro, MD 20772-7837 | 2019-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355077 | Doris Lynn Perkins | Pharmacist | 5700 Southeast Crain Hwy, Upper Marlboro, MD 20772 | 2020-10-31 |
| 1730790221 | Creative Mind Therapy | Community/Behavioral Health | 12419 Dorsey Ln, Upper Marlboro, MD 20772 | 2020-08-10 |
| 1932727369 | Shaquitta Morton | Behavior Technician | 9440 Marlboro Pike 100, Upper Marlboro, MD 20772 | 2020-07-13 |
| 1760022958 | Keri Daniel | Nurse Practitioner | 9723 Frank Tippett Rd, Upper Marlboro, MD 20772 | 2020-01-15 |
| 1932668134 | Dentistry for Children of Maryland, LLC | Clinic/Center | 9616 Marlboro Pike, Upper Marlboro, MD 20772 | 2019-03-18 |
| 1033673918 | Shonte Renee Drakeford | Nurse Practitioner | 6610 Woodyard Road, Upper Marlboro, MD 20772 | 2019-01-25 |
| 1902391261 | Myenne Hanson | Home Health Aide | 5002 Ashford Dr, Upper Marlboro, MD 20772 | 2018-06-28 |
| 1659884849 | Clement Okehie | Home Health Aide | 13939 Bishops Bequest Rd, Upper Marlboro, MD 20772 | 2017-11-09 |
| 1497264766 | Fatu Barrie | Technician | 11112 Cranfod Drive, Upper Marlboro, MD 20772 | 2017-09-29 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| Find all providers in zip 20772 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765310 | Ashley Yavonne Grier | Counselor | 261 Red Jade Dr, Upper Marlboro, MD 20774-1588 | 2020-09-16 |
| 1831739333 | Jasmine Mcleod | Counselor | 7200 Twinflower Pl, Upper Marlboro, MD 20772-4523 | 2020-01-13 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1699265694 | United Counseling and Support Services LLC | Counselor | 9701 Apollo Dr Ste 10020705, Upper Marlboro, MD 20774-4783 | 2018-05-15 |
| 1689172033 | Claudia Veronica Flowers | Counselor | 407 Clairborne St, Upper Marlboro, MD 20774-1965 | 2018-01-30 |
| 1093230815 | Marvin Reese | Counselor | 10559 Joyceton Dr, Upper Marlboro, MD 20774-1464 | 2017-08-14 |
| 1194240556 | Lead By Example Behavial Health Services LLC | Counselor | 1300 Mercantile Ln Ste 129-8, Upper Marlboro, MD 20774-5327 | 2017-08-07 |
| 1952824245 | Latonia Laffitte | Counselor | 4609 Penzance Place, Upper Marlboro, MD 20772-6923 | 2017-07-19 |
| 1801339874 | Gregory Roberts Jr. | Counselor | 2201 Barnstable Drive, Upper Marlboro, MD 20774 | 2016-11-23 |
| 1700337094 | Malissa Stephenson | Counselor | 13521 Lord Baltimore Pl, Upper Marlboro, MD 20772-5933 | 2016-10-21 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20772 |
Please comment or provide details below to improve the information on MR. KEVIN G WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.