Kiffany Williams
Home Health Aide in Forrest City, AR. Individual provider (NPI-1).
NPI number1609261312
StatusActive
Last updated in NPPESMar 31, 2015
Details
- NPI
- 1609261312
- Entity type
- Individual (NPI-1)
- Name
- Kiffany Williams
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 31, 2015
- Last updated
- Mar 31, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 050354920511E | AR | Yes |
Practice location
1015 Princeton StApt.15
Forrest City, AR 72335-2658
Phone 901-412-5980
Mailing address
1015 Princeton StApt.15
Forrest City, AR 72335-2658
Phone 901-412-5980
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