Individual
KASEY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1501
(765) 448-8000
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71008515A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300020786
—
IN
Enumeration date
08/30/2018
Last updated
03/01/2021
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