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Organization

KADY WILLIAMS LLC

Active
Parent organization
KADY WILLIAMS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KADY WILLIAMS LLC
Authorized official
MRS. KADY WILLIAMS PMHNP (PSYCHIATRIC MENTAL HEALTH NP)
(719) 568-8218
Entity
Organization

Contact information

Practice address
147 S RANCHO VISTA DR, PUEBLO, CO 81007-4047
(719) 568-8218
Mailing address
147 S RANCHO VISTA DR, PUEBLO, CO 81007-4047
(719) 568-8218

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
00991676-NP
CO
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0991676-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
482544
CO
Enumeration date
09/25/2016
Last updated
09/25/2016
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