Williams, Kathleen Joy

Williams, Kathleen Joy is an individual health care provider with primary practice located at 321 Poplar Dr Ste C , Petersburg VA 23805-9391. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Williams, Kathleen Joy can be contacted via phone (804) 733-5591.

Contact Information

Primary practice address
321 Poplar Dr Ste C Petersburg VA 23805-9391
Phone: (804) 733-5591
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024184325 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 0024184325 Virginia

Profile Details

NPI number 1508504705
LBN Legal business name Williams, Kathleen Joy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2022
Last updated May 26th, 2022 - about 4 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 1508504705 NPPES
Virginia Other 0024184325 LICENSE NUMBER

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