Williard, Kelsey L

Williard, Kelsey L is an sole proprietor health care provider with primary practice located at 1072 Market St , Sunbury PA 17801-2458. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williard, Kelsey L can be contacted via phone (570) 286-8521.

Contact Information

Primary practice address
1072 Market St Sunbury PA 17801-2458
Phone: (570) 286-8521
Fax: (570) 286-6197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA059097 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA004178 Pennsylvania

Profile Details

NPI number 1851829964
LBN Legal business name Williard, Kelsey L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2017
Last updated Oct 5th, 2023 - about 3 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 1851829964 NPPES
Pennsylvania MEDICAID 1033621040012
Pennsylvania Other 587565F6K

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