KELLY D WILLIAMS (NPI# 1588905970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588905970 |
| Entity Type | Individual |
| Full Name | KELLY D WILLIAMS |
| Credential | FNP-C |
| Practice Address |
560 Queens Court Pl Saint Peters MO 63376-7349 |
| Practice Telephone | 3143488639 |
| Mailing Telephone | 3143488639 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2017007329 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
2007019003 | MO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323528 | Kelly Mikel Williams | Technician | 1003 Anderson Pl Se, Washington, DC 20032-4405 | 2019-02-26 |
| 1093178493 | Kelly Williams | Counselor | 1105 Cedar Crest Dr, Minden, NV 89423-5168 | 2016-04-01 |
| 1174936868 | Kelly Williams | Behavioral Analyst | 4001 Glenarm Ave, Baltimore, MD 21206-2527 | 2014-06-10 |
| 1689097446 | Kelly Williams | Registered Nurse | 18889 Saint Aubin St, Detroit, MI 48234-1220 | 2014-01-30 |
| 1750632204 | Kelly B Williams | Physical Therapy Assistant | 1127 Knight Dr, Columbus, GA 31906-2731 | 2012-09-24 |
| 1518241462 | Kelly Ann Williams | Pharmacist | 301 S. Sante Fe Avenue, Edmond, OK 73003 | 2011-10-10 |
| 1801190210 | Kelly Anne Williams | Health Educator | 9613 Sudley Manor Dr, Manassas, VA 20109-3345 | 2010-12-28 |
| 1235463621 | Kelly Williams | Counselor | 89 Access Rd Ste A2, Norwood, MA 02062-5229 | 2009-10-01 |
| 1487889465 | Kelly Marie Williams | Hearing Instrument Specialist | 165 E. Rowland Street, Covina, CA 91723-3049 | 2009-05-20 |
| 1679718415 | Kelly M Williams | Dermatology | 1140 Edwards Village Blvd S-b200, Edwards, CO 81632-2736 | 2008-12-09 |
| Street Address |
560 QUEENS COURT PL |
| City | SAINT PETERS |
| State | MO |
| Zip Code | 63376-7349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275047946 | Nicholas Christian Schultz | Dentist | 100 Piper Hill Dr Ste A, Saint Peters, MO 63376 | 2017-11-16 |
| 1982120093 | Carol Weber | Speech-Language Pathologist | 166 Boone Hills Dr., St Peters, MO 63376 | 2017-08-21 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1508310632 | Preferred Family Healthcare, Inc. | Counselor | 2120 Parkway Dr, Saint Peters, MO 63376 | 2016-08-05 |
| 1598130676 | Delta Center Personal Attendant Services | In Home Supportive Care | 3833 Mcclay, Suite 61, St. Peters, MO 63376 | 2015-12-01 |
| 1427420314 | Barbara Marlene Edelman | Counselor | 1286 Jungerman Rd. Suite G, St. Peters, MO 63376 | 2015-10-30 |
| 1255740247 | Claire Williams | Dentist | 340 Mid Rivers Mall Drive, Suite E, St. Peters, MO 63376 | 2014-08-05 |
| 1184042855 | Keith Wickenhauser | Internal Medicine | 201 Bjc Saint Peters Dr Ste 100, Saint Peters, MO 63376 | 2014-03-31 |
| 1821415233 | Abby Link | Physician Assistant | 107 Piper Parkway, #150, St. Peters, MO 63376 | 2014-03-24 |
| 1225452105 | Ashley Gagel | Physical Therapist | 7055 Mexico Rd Suite 1601, St. Peters, MO 63376 | 2014-02-12 |
| Find all providers in zip 63376 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409669 | Jorgie Makowski | Nurse Practitioner | 303 Jungermann Rd Ste B, Saint Peters, MO 63376-5366 | 2020-08-31 |
| 1073097515 | Trisha Lynn Waters | Nurse Practitioner | 6167 Mid Rivers Mall Dr, Saint Peters, MO 63304-1105 | 2018-09-20 |
| 1497280721 | Yalonda Amerson | Nurse Practitioner | 1220 Cashmere Ln, Saint Peters, MO 63376-2592 | 2017-04-24 |
| 1649725987 | Betty Mitchell | Nurse Practitioner | 20 Jamaica Dr, Saint Peters, MO 63376-1311 | 2016-08-16 |
| 1659650521 | Casey E Fincher | Nurse Practitioner | 400 Mid Rivers Mall Dr, Saint Peters, MO 63376-1577 | 2011-08-10 |
| 1962051086 | Monica Renee Hallquist | Nurse Practitioner | 4800 Mexico Rd Ste 101, Saint Peters, MO 63376-1666 | 2019-09-11 |
| 1417504358 | Molly Page Lashley | Nurse Practitioner | 6 Jungermann Cir Ste 215, Saint Peters, MO 63376-1626 | 2019-08-26 |
| 1851858971 | Dinalben Patel | Nurse Practitioner | 107 Piper Hill Dr Ste 100, Saint Peters, MO 63376-1651 | 2019-02-25 |
| 1700303757 | Leslie A Simpson | Nurse Practitioner | 112 Piper Hill Dr Ste 9, Saint Peters, MO 63376-1690 | 2017-08-29 |
| 1316464001 | Cindy Myers | Nurse Practitioner | 6994 Mexico Rd, Saint Peters, MO 63376-1512 | 2017-08-24 |
| Find all providers in SAINT PETERS | ||||
| City | SAINT PETERS |
| Zip Code | 63376 |
Please comment or provide details below to improve the information on KELLY D WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.