Individual
KELLY ANNE WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
219 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1519
(215) 762-5612
(215) 762-5602
Mailing address
1601 CHERRY ST, SUITE 11511, PHILADELPHIA, PA 19102-1320
(215) 255-7822
(215) 255-7825
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD457807
PA
Other
Enumeration date
05/04/2012
Last updated
05/25/2016
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