Organization
WILLIAMS HEALTHCARE SERVICES OF KENTUCKY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANISHA MONIQUE WILLIAMS APRN (MANAGING MEMBER)
(270) 312-3473
Entity
Organization
Contact information
Practice address
790 N DIXIE AVE STE 801, ELIZABETHTOWN, KY 42701-2473
(270) 234-0238
(270) 900-4764
Mailing address
585 DOGWOOD LN, ELIZABETHTOWN, KY 42701-9532
(127) 031-2347
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100453830
—
KY
Enumeration date
12/17/2018
Last updated
01/04/2020
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