Individual
KALLAN SAMANTHA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6905 HOSPITAL DR STE 130, DUBLIN, OH 43016-9600
(614) 544-6370
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006849RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0437141
—
OH
Enumeration date
03/08/2021
Last updated
07/12/2022
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