Williams, Kathleen Edna
Williams, Kathleen Edna is an individual health care provider with primary practice located at 1340 Charles St Ste 201, Rockford IL 61104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Kathleen Edna can be contacted via phone (779) 696-8799.Contact Information
Primary practice address
1340 Charles St Ste 201
Rockford IL 61104
Phone: (779) 696-8799
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209-004303 | Illinois |
Profile Details
NPI number | 1063418143 |
---|---|
LBN Legal business name | Williams, Kathleen Edna |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2005 |
Last updated | Feb 18th, 2021 - about 3 years ago |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063418143 | NPPES |
Illinois | Other | 209004303 | STATE LICENSE |
Illinois | Other | 264325 | STATE LICENSE |
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