Individual
KIMBERLY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2225 W BROADWAY STE B, LOUISVILLE, KY 40211-1003
(502) 588-1090
(502) 588-9598
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005861
KY
363LF0000X
Family Nurse Practitioner
3005861
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3005861
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300021360
—
IN
05
—
7100073690
—
KY
Enumeration date
12/26/2008
Last updated
07/27/2023
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