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
Fax: (615) 848-1182
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255339701 NPPES
Tennessee MEDICAID 1508421
Tennessee Other 3896201

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