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NPI Code Detail

MEDICARE: KRISTIN WILLIAMS RN

MEDICARE: KRISTIN WILLIAMS RN
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
1163W00000XRegistered NurseR74311AR

General Provider Information

NPI Number : 1457142986
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN WILLIAMS RN
Provider Business Mailing Address
First Line : PO BOX 3649
Second Line :
City : FORT SMITH
State : AR
Zip : 72913-3649
Country : US
Telephone Number : 479-788-7850
Fax Number :
Provider Business Practice Location Address
First Line : 5700 PHOENIX PL
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-5782
Country : US
Telephone Number : 479-441-2600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2025
Last Update Date : 05/14/2025

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