Individual
JAN-DOREEN WILLIAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
616 S WALLACE WILKINSON BLVD, LIBERTY, KY 42539-3344
(606) 787-6889
Mailing address
51 CASTLE ROCK DR, LIBERTY, KY 42539-8144
(606) 346-3295
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
R2415
KY
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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