| Doctor Name: | KELLY L WILLIAMSON |
| NPI Number: | 1124318027 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA21542 |
| Business Practice Address: | 35800 Highway 190 Springville, CA - 932659116 |
| Business Phone Number: | 5595392324 |
| Business Fax Number: | 5595392923 |
| Mailing Address: | 305 East Center Street, VISALIA |
| State: | CA |
| Postal Code: | 932916331 |
| Phone Number: | 5597374700 |
| Fax Number: | 5597377482 |
| NPI Enumeration Date: | 04/12/2011 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA21542 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |