Individual
KELVIN LAMAR WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
(845) 486-2770
Mailing address
41 PAGE PARK DR, POUGHKEEPSIE, NY 12603-7500
(845) 486-2850
(845) 486-2770
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
36365
NY
363A00000X
Physician Assistant
36365
NY
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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