Individual
KAYLEIGH KESHIA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3713 BENSON DR STE 201, RALEIGH, NC 27609-7372
(919) 235-6520
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-8991
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-11929
NC
363AS0400X
Surgical Physician Assistant
Primary
0010-11929
NC
Other
Enumeration date
02/23/2022
Last updated
12/16/2022
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