Organization
KADY WILLIAMS LLC
Active
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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