Individual
SHELLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2550 LEESTOWN ROAD, LEXINGTON, KY 40511
(859) 233-4511
(589) 281-3880
Mailing address
2250 LEESTOWN ROAD, ADMINSTRATION MEDICINE-LD, LEXINGTON, KY 40511-1150
(859) 233-4511
(859) 281-3880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1070799
KY
363L00000X
Nurse Practitioner
Primary
3232P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78005121
—
KY
Enumeration date
05/11/2006
Last updated
03/29/2018
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