Individual
MS. KELLY A WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN - FNP-C
Contact information
Practice address
166 S. WEST ST., CROWN POINT, IN 46307
(219) 552-8188
(484) 351-3800
Mailing address
166 S. WEST ST, CROWN POINT, IN 46307
(219) 552-8188
(219) 310-8090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28096681A
IN
363LF0000X
Family Nurse Practitioner
041356170
IL
363LF0000X
Family Nurse Practitioner
Primary
71001088B
IN
Other
Enumeration date
11/08/2006
Last updated
12/12/2014
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