Provider Demographics
NPI:1003136706
Name:WILLIAMS, DANA L
Entity Type:Individual
Prefix:MRS
First Name:DANA
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SEGO RD.
Mailing Address - Street 2:
Mailing Address - City:MOUNT EDEN
Mailing Address - State:KY
Mailing Address - Zip Code:40046-8049
Mailing Address - Country:US
Mailing Address - Phone:502-649-0184
Mailing Address - Fax:
Practice Address - Street 1:425 SEGO RD.
Practice Address - Street 2:
Practice Address - City:MOUNT EDEN
Practice Address - State:KY
Practice Address - Zip Code:40046-8049
Practice Address - Country:US
Practice Address - Phone:502-649-0184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula