Williams, Kathleen Edna

Williams, Kathleen Edna is an individual health care provider with primary practice located at 1340 Charles St Ste 201, Rockford IL 61104. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Williams, Kathleen Edna can be contacted via phone (779) 696-8799.

Contact Information

Primary practice address
1340 Charles St Ste 201 Rockford IL 61104
Phone: (779) 696-8799
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-004303 Illinois

Profile Details

NPI number 1063418143
LBN Legal business name Williams, Kathleen Edna
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Feb 18th, 2021 - about 5 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 1063418143 NPPES
Illinois Other 209004303 STATE LICENSE
Illinois Other 264325 STATE LICENSE

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