Individual
KELLY WHETSTONE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3624 BROOKS ST STE 101, MISSOULA, MT 59801-7338
(888) 227-3312
Mailing address
4200 INCLINATION WAY, MISSOULA, MT 59803-9708
(253) 370-8214
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
143462
MT
363LF0000X
Family Nurse Practitioner
Primary
AP60048667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225283153
—
WA
05
—
9659798
—
WA
Enumeration date
11/19/2008
Last updated
04/13/2020
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