Williams, Andrea Renee

Williams, Andrea Renee is an sole proprietor health care provider with primary practice located at 900 Hospital Dr , Madisonville KY 42431-1644. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Williams, Andrea Renee can be contacted via phone (270) 825-5101.

Contact Information

Primary practice address
900 Hospital Dr Madisonville KY 42431-1644
Phone: (270) 825-5101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34.012921 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04266 Kentucky

Profile Details

NPI number 1447664545
LBN Legal business name Williams, Andrea Renee
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2014
Last updated Feb 2nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447664545 NPPES
Kentucky MEDICAID 71005466870
Kentucky MEDICAID 0243554

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