Individual
KELLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18645 GREENWELL SPRINGS RD APT 3, GREENWELL SPRINGS, LA 70739-4841
(225) 235-7509
Mailing address
8713 LOCH FYNE AVE, BAKER, LA 70714-7039
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
30001492
LA
174N00000X
Lactation Consultant (Non-RN)
Primary
L-309153
LA
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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