# WILLIAMS HEALTHCARE SERVICES OF KENTUCKY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871064717
- **Authorized official:** TANISHA MONIQUE WILLIAMS APRN (MANAGING MEMBER)
- **Authorized official phone:** (270) 312-3473

## Contact information

- **Practice address:** 790 N DIXIE AVE STE 801, ELIZABETHTOWN, KY 42701-2473
- **Practice address phone:** (270) 234-0238
- **Practice address fax:** (270) 900-4764
- **Mailing address:** 585 DOGWOOD LN, ELIZABETHTOWN, KY 42701-9532
- **Mailing address phone:** (127) 031-2347

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/17/2018
- **Last updated:** 01/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100453830 | — | KY |