IndividualActive
Kenneth Williams, P.A.
NPI 1477664944 · Surgical Physician Assistant · Albuquerque, NM
Provider details
- NPI number
- 1477664944
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Male
- Sole proprietor
- No
- License
- 80-PA018 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Phone: (505) 256-5746
Fax: (505) 256-5772
Approximate (ZIP-level) locationGet directions
Mailing address
1501 San Pedro Dr Se
Albuquerque, NM 87108-5153
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.