Organization
KRISTIN WILLIAMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KRISTIN RAMONA WILLIAMS NONE (STUDENT)
(240) 446-9145
Entity
Organization
Contact information
Practice address
335 MARKET ST, HARRISBURG, PA 17101-2223
(240) 446-9145
Mailing address
335 MARKET ST, HARRISBURG, PA 17101-2223
(240) 446-9145
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
W-452-478-730-141
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20020938
—
MD
Enumeration date
08/29/2016
Last updated
08/29/2016
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