Williams, Kelly G
Williams, Kelly G is an individual health care provider with primary practice located at 1272 Garrison Dr , Murfreesboro TN 37129-2598. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Williams, Kelly G can be contacted via phone (615) 867-8030.Contact Information
Primary practice address
1272 Garrison Dr
Murfreesboro TN 37129-2598
Phone: (615) 867-8030
Fax: (615) 848-1182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD0000038812 | Tennessee |
Profile Details
| NPI number | 1255339701 |
|---|---|
| LBN Legal business name | Williams, Kelly G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2005 |
| Last updated | Jun 26th, 2020 - about 4 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 | 1255339701 | NPPES |
| Tennessee | MEDICAID | 1508421 | |
| Tennessee | Other | 3896201 |
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