Williamson, Kelly Dawn

Williamson, Kelly Dawn is an individual health care provider with primary practice located at 1857 Pine St , Abilene TX 79601-2429. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Williamson, Kelly Dawn can be contacted via phone (325) 670-4545.

Contact Information

Primary practice address
1857 Pine St Abilene TX 79601-2429
Phone: (325) 670-4545
Fax: (325) 670-2896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 29188 Texas

Profile Details

NPI number 1407934664
LBN Legal business name Williamson, Kelly Dawn
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 9th, 2007 - about 17 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 1407934664 NPPES
Texas MEDICAID 143925
Texas Other 4588060

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