Individual
KATHLEEN JOY WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
321 POPLAR DR STE C, PETERSBURG, VA 23805-9391
(804) 733-5591
Mailing address
321 POPLAR DR STE C, PETERSBURG, VA 23805-9391
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0024184325
VA
363LP2300X
Primary Care Nurse Practitioner
Primary
0024184325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024184325
LICENSE NUMBER
VA
Enumeration date
05/26/2022
Last updated
05/26/2022
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