Proctor-Williams, Kerry Ellen
Proctor-Williams, Kerry Ellen is an individual health care provider with primary practice located at 156 S. Dossett Drive Lamb Hall, Room 363, Johnson City TN 37614. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Proctor-Williams, Kerry Ellen can be contacted via phone (423) 439-4355.Contact Information
Primary practice address
156 S. Dossett Drive Lamb Hall, Room 363
Johnson City TN 37614
Phone: (423) 439-4355
Fax: (423) 439-4607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 3011 | Tennessee |
Profile Details
| NPI number | 1295887990 |
|---|---|
| LBN Legal business name | Proctor-Williams, Kerry Ellen |
| Credentials | PH.D., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jan 24th, 2024 - about 2 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 | 1295887990 | NPPES |
| Tennessee | MEDICAID | Q018924 |
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