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Contact Information

KELLY A WILLIAMS, MS CCC-A
NAS JACKSONVILLE BUILDING 554
BUREAU OF MEDICINE AND SURGERY DETACHMENT JACKSONVILLE
JACKSONVILLE, FL32212
 Phone: 187-777-2437
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
Indicates primary specialty

NPI Profile & details for KELLY A WILLIAMS · (Female)

NPI Number 1780643874
Status Active
Credentials MS CCC-A
Entity Individual
Enumeration date 03/20/2006
Last updated 09/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • PA License # AT000658L
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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