Doctor Name: | KIMBERLY J WILLIAMS |
NPI Number: | 1184650194 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | OA-000783-L |
Business Practice Address: | Hc 63 Box 48c Mifflintown, PA - 170599049 |
Business Phone Number: | 7174365578 |
Business Fax Number: | |
Mailing Address: | Po Box 67, MIFFLINTOWN |
State: | PA |
Postal Code: | 170590067 |
Phone Number: | 7174365578 |
Fax Number: | |
NPI Enumeration Date: | 06/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | OA-000783-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |