Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 18825-NP | OH |
N | 363LP2300X | Nurse Practitioner - Primary Care | 18825 | OH |
NPI | 1053771170 |
---|---|
Provider Name | Rachael Leann Kemp-Williams |
First Address | Mt Sterling, OH 43143-1254 |
Second Address | Mt Sterling, OH 43143-1254 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2016 |
Last Update Date | 09/11/2021 |