Individual
MS. KRISSI J WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
1187 DUCK RD STE 10, DUCK, NC 27949-4570
(252) 429-7200
(252) 423-4588
Mailing address
1187 DUCK RD STE 10, DUCK, NC 27949-4570
(252) 429-7200
(252) 715-3678
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
104065
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110005998
LICENSE
VA
01
—
104065
MEDICAL LICENSE
NC
Enumeration date
11/11/2005
Last updated
03/20/2024
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