Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | 11128043 | TN |
NPI | 1235595224 |
---|---|
Provider Name | Mrs. Kristin Cooper Williams |
First Address | Knoxville, TN 37921-5804 |
Second Address | Knoxville, TN 37921-5804 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2016 |
Last Update Date | 07/01/2016 |