Provider Demographics
NPI:1649161142
Name:WILLIAMS, KIMAYA T'NAY
Entity type:Individual
Prefix:
First Name:KIMAYA
Middle Name:T'NAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 ALAMEDA ST APT J7
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-3036
Mailing Address - Country:US
Mailing Address - Phone:405-206-5974
Mailing Address - Fax:
Practice Address - Street 1:1616 ALAMEDA ST APT J7
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-3036
Practice Address - Country:US
Practice Address - Phone:405-206-5974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-12
Last Update Date:2025-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator