Individual
KATELYN IRENE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 852-1735
(502) 852-6056
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-0328
(502) 587-4784
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
TP277
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
54131
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040446
—
IN
05
—
7100675180
—
KY
Enumeration date
04/06/2016
Last updated
07/21/2020
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