Individual
KATHY S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNFA
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
28128762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378547
ANTHEM
IN
Enumeration date
07/06/2006
Last updated
08/05/2008
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