WILLIAMS MEDICAL PRACTICE LLC NPI 1710591656

NPI Information

  • NPI: 1710591656
  • Provider Name: WILLIAMS MEDICAL PRACTICE LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 18D0923105
  • Address: 1029 MEDICAL CENTER CIR STE 202
    MAYFIELD, KY
    ZIP 42066
  • Phone: (270) 251-4551

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NPI Details

WILLIAMS MEDICAL PRACTICE LLC is a family medicine in Mayfield, KY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. WILLIAMS MEDICAL PRACTICE LLC NPI is 1710591656. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1029 MEDICAL CENTER CIR STE 202
MAYFIELD, KY
ZIP 42066-189
Phone: (270) 251-4551
Fax: (270) 251-4551

The provider's authorized official is Wayne E Williams .
The authorized official title is Mbr and has the following contact phone number (270) 247-7795.

The CLIA number assigned to this NPI record is 18D0923105 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2020 and was last updated on 1/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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