Individual
KATHLEEN M WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1400 TEAL RD STE 8, LAFAYETTE, IN 47905-2463
(765) 477-2020
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01075964A
IN
Other
Enumeration date
06/20/2011
Last updated
05/04/2018
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