Provider Demographics
NPI:1871773994
Name:WILLIAMS, KERRY LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KERRY
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST STE 1040
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6926
Mailing Address - Country:US
Mailing Address - Phone:713-520-2328
Mailing Address - Fax:
Practice Address - Street 1:1435 WESTHEIMER RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-2616
Practice Address - Country:US
Practice Address - Phone:713-391-8991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-06
Last Update Date:2022-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.302844183500000X
NJ28RIO4052000183500000X
NV18915183500000X
HIPH3738183500000X
FLPS 38798183500000X
AL15128183500000X
AZS023261183500000X
TX66131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist