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NPI Code Detail

MEDICARE: KASEY LEE WILLIAMS

MEDICARE: KASEY LEE 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1093655565
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY LEE WILLIAMS
Provider Business Mailing Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-735-8784
Fax Number : 910-671-5392
Provider Business Practice Location Address
First Line : 300 W 27TH ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-3075
Country : US
Telephone Number : 910-735-8784
Fax Number : 910-671-5392
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2026
Last Update Date : 04/01/2026

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Directions to “ KASEY LEE WILLIAMS ” Practice Location

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