Provider Demographics
NPI:1518376391
Name:WILLIAMS, KADY (C-APN)
Entity Type:Individual
Prefix:
First Name:KADY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:C-APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2906 BEACON ST
Mailing Address - Street 2:STE A
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907
Mailing Address - Country:US
Mailing Address - Phone:719-568-8188
Mailing Address - Fax:719-547-1226
Practice Address - Street 1:2906 BEACON ST STE A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6193
Practice Address - Country:US
Practice Address - Phone:719-568-8188
Practice Address - Fax:719-547-1226
Is Sole Proprietor?:No
Enumeration Date:2014-08-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN0991676-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health