Williams, Krystle Michelle

Williams, Krystle Michelle is an individual health care provider with primary practice located at 10000 Bay Pines Blvd Cw Bill Young Va Medical Center, Bay Pines FL 33744-8200. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Williams, Krystle Michelle can be contacted via phone (727) 398-6661.

Contact Information

Primary practice address
10000 Bay Pines Blvd Cw Bill Young Va Medical Center Bay Pines FL 33744-8200
Phone: (727) 398-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25MA09225300 New Jersey
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A272335-1 New York
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME 123768 Florida

Profile Details

NPI number 1477782118
LBN Legal business name Williams, Krystle Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2009
Last updated Apr 20th, 2017 - about 7 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 1477782118 NPPES
New York MEDICAID 03914436

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