Individual
KAY WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-5829
Mailing address
9515 HOLY CROSS LN, BREESE, IL 62230-3618
(618) 526-5829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041462974
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023327
IL
Other
Enumeration date
02/26/2021
Last updated
12/28/2021
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