Individual
KELLY DAWN WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
180 GRAFTON LN, BERRYVILLE, VA 22611-2576
(540) 955-2400
Mailing address
180 GRAFTON LANE, BERRYVILLE, VA 22611
(540) 955-2400
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401141309
VA
Other
Enumeration date
06/28/2017
Last updated
07/21/2022
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