Individual
KELLIE LIM WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1874 E MAIN ST, SPARTANBURG, SC 29307-2306
(714) 900-1454
Mailing address
1874 E MAIN ST, SPARTANBURG, SC 29307-2306
(714) 900-1454
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NON INSURANCE CLIENTS
—
Enumeration date
01/04/2023
Last updated
01/04/2023
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