Individual
DR. KELLY E WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Mailing address
5 MORGAN HWY, SUITE 4, SCRANTON, PA 18508-2641
(570) 344-3788
(570) 969-9280
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
OS017241
PA
208100000X
Physical Medicine & Rehabilitation Physician
OT013735
PA
208VP0014X
Interventional Pain Medicine Physician
Primary
OS017241
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003115409
BLUE SHIELD/PREMIER BLUE/MEDICARE ADVANTAGE/FIRST PRIORITY LIFE
PA
05
—
102967539-0001
—
PA
01
—
1093940546
UHC COMMERCIAL & MEDICARE
PA
01
—
25-1645055
AETNA BETTER HEALTH
PA
01
—
30212590
AMERIHEALTH CARITAS
PA
01
—
4866356
AETNA
PA
01
—
6620630
CIGNA
PA
01
—
833606
FPH
PA
01
—
P01389864
RR MEDICARE
PA
Enumeration date
05/27/2009
Last updated
06/07/2022
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