Provider Demographics
NPI:1023257979
Name:WILLIAMS, KEVIN MICHAEL (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:MICHAEL
Last Name:WILLIAMS
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Gender:M
Credentials:MD, MBA
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Mailing Address - Street 1:2 WISCONSIN CIR
Mailing Address - Street 2:SUITE 700
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7003
Mailing Address - Country:US
Mailing Address - Phone:703-283-8679
Mailing Address - Fax:703-461-3448
Practice Address - Street 1:3737 SEMINARY RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22304-5202
Practice Address - Country:US
Practice Address - Phone:703-283-8679
Practice Address - Fax:703-461-3448
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2009-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00593302084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry