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NPI Code Detail

MEDICARE: ALLYSON WILLIAMS

MEDICARE:   ALLYSON  WILLIAMS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4053454KY

General Provider Information

NPI Number : 1003761263
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON WILLIAMS
Provider Business Mailing Address
First Line : 375 CROSSROADS BLVD
Second Line :
City : COLD SPRING
State : KY
Zip : 41076
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 375 CROSSROADS BLVD
Second Line :
City : COLD SPRING
State : KY
Zip : 41076
Country : US
Telephone Number : 859-448-1170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ ALLYSON WILLIAMS ” Practice Location

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