Williams, Kellie Sue

Williams, Kellie Sue is an sole proprietor health care provider with primary practice located at 828 E Savoy St , Lecanto FL 34461-8766. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Williams, Kellie Sue can be contacted via phone (404) 357-6946.

Contact Information

Primary practice address
828 E Savoy St Lecanto FL 34461-8766
Phone: (404) 357-6946
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X APRN11012874 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN094494NP Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN11012874 Florida

Profile Details

NPI number 1992006506
LBN Legal business name Williams, Kellie Sue
Credentials NP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 12th, 2010
Last updated Jan 23rd, 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 1992006506 NPPES
Georgia MEDICAID 1992006506
Georgia Other XJYGA
Georgia MEDICAID 110883800

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