Williamson, Kerry Ann
Williamson, Kerry Ann is an sole proprietor health care provider with primary practice located at 935 Main St Watkins Center, Suite C2, Manchester CT 06040-6059. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Williamson, Kerry Ann can be contacted via phone (860) 646-2525.Contact Information
Primary practice address
935 Main St Watkins Center, Suite C2
Manchester CT 06040-6059
Phone: (860) 646-2525
Fax: (860) 646-9680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 000890 | Connecticut |
Profile Details
| NPI number | 1962520130 |
|---|---|
| LBN Legal business name | Williamson, Kerry Ann |
| Credentials | R.N., A.P.R.N. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Mar 18th, 2013 - about 11 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 | 1962520130 | NPPES |
| Connecticut | MEDICAID | 004199205 | |
| Connecticut | Other | 400000890CT01 |
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