Individual
KEELY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 3RD STREET, ALBUQUERQUE, NM 87102
(505) 764-8231
Mailing address
1201 3RD STREET, ALBUQUERQUE, NM 87102
(505) 764-8231
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163WS0200X
School Registered Nurse
Primary
65341
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N3938
—
NM
Enumeration date
04/03/2017
Last updated
10/31/2024
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