Individual
JONATHAN PHILLIPS WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4329 CREEK VALLEY WAY, LEXINGTON, KY 40515-6075
(757) 338-0113
Mailing address
4329 CREEK VALLEY WAY, LEXINGTON, KY 40515-6075
(757) 338-0113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-09-004
KY
Other
Enumeration date
03/04/2009
Last updated
03/04/2009
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