Provider Demographics
NPI:1124181839
Name:WILLIAMS, KRISTAL L (PHARMD,, CDE)
Entity Type:Individual
Prefix:DR
First Name:KRISTAL
Middle Name:L
Last Name:WILLIAMS
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Gender:F
Credentials:PHARMD,, CDE
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Mailing Address - Street 1:1520 N SENATE AVE
Mailing Address - Street 2:IU METHODIST FAMILY PRACTICE CENTER
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-2213
Mailing Address - Country:US
Mailing Address - Phone:317-962-1045
Mailing Address - Fax:317-962-1049
Practice Address - Street 1:1520 N SENATE AVE
Practice Address - Street 2:IU METHODIST FAMILY PRACTICE CENTER
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2213
Practice Address - Country:US
Practice Address - Phone:317-962-1045
Practice Address - Fax:317-962-1049
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2011-04-01
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Provider Licenses
StateLicense IDTaxonomies
IN26020983A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist