Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | 0024164533 | VA |
NPI | 1225247257 |
---|---|
Provider Name | Ms. Kimberley D Williams |
First Address | Richmond, VA 23298-5071 |
Second Address | Richmond, VA 23298-5071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 22/06/2015 |