Individual
ROBIN K. CARLEY-WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
619 S CLARK AVE, LYONS, KS 67554-3003
(620) 257-5173
(620) 257-2608
Mailing address
619 S CLARK AVE, LYONS, KS 67554-3003
(620) 257-5173
(620) 257-2608
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01262
KS
363A00000X
Physician Assistant
MED-PAC-LIC-625
MT
363A00000X
Physician Assistant
PA31125948
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-41767-112
REGISTERED NURSE LICENSE
KS
01
—
15-01262
PA LICENSE
KS
05
—
200578630A
—
KS
05
—
217086
—
WA
01
—
MED-PAC-LIC-625
MONTANA PHYSICIAN ASSISTANT LICENSE
MT
Enumeration date
09/09/2008
Last updated
09/23/2025
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