Provider Demographics
NPI:1306726328
Name:WILLIAMS, CRYSTAL LEKAY
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:LEKAY
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 1:180 NORMAN ST
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:KY
Mailing Address - Zip Code:41531-8863
Mailing Address - Country:US
Mailing Address - Phone:304-785-3712
Mailing Address - Fax:
Practice Address - Street 1:180 NORMAN ST
Practice Address - Street 2:
Practice Address - City:HARDY
Practice Address - State:KY
Practice Address - Zip Code:41531-8863
Practice Address - Country:US
Practice Address - Phone:304-785-3712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant