MEDICARE: KADY WILLIAMS C-APN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN0991676-NP	CO

General Provider Information

NPI Number	:	1518376391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADY WILLIAMS C-APN

Provider Business Mailing Address
First Line	:	2906 BEACON ST
Second Line	:	STE A
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907
Country	:	US
Telephone Number	:	719-568-8188
Fax Number	:	719-547-1226

Provider Business Practice Location Address
First Line	:	2906 BEACON ST STE A
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-6193
Country	:	US
Telephone Number	:	719-568-8188
Fax Number	:	719-547-1226

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2014
Last Update Date	:	07/21/2022

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