Healthcare Provider Details

I. General information

NPI: 1164351425
Provider Name (Legal Business Name): BILLIE KAYE WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 N MAIN ST
HARRISON AR
72601-2911
US

IV. Provider business mailing address

620 N MAIN ST
HARRISON AR
72601-2911
US

V. Phone/Fax

Practice location:
  • Phone: 870-414-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0106X
TaxonomyOccupational Health Registered Nurse
License NumberR090224
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: