Provider Demographics
NPI:1275755498
Name:WILLIAMS, CAROLINE KAY (DC)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:KAY
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:2637 W HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 110
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4834
Mailing Address - Country:US
Mailing Address - Phone:702-938-0199
Mailing Address - Fax:702-644-6325
Practice Address - Street 1:2637 W HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4834
Practice Address - Country:US
Practice Address - Phone:702-938-0199
Practice Address - Fax:702-644-6325
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2010-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NVB00859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV35947Medicare UPIN