Provider Demographics
NPI:1396591582
Name:WILLIAMS-CODLING, KERRIE
Entity type:Individual
Prefix:
First Name:KERRIE
Middle Name:
Last Name:WILLIAMS-CODLING
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 1:2363 CHAPEL RIDGE PL APT 21G
Mailing Address - Street 2:
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-7589
Mailing Address - Country:US
Mailing Address - Phone:785-330-6898
Mailing Address - Fax:
Practice Address - Street 1:2363 CHAPEL RIDGE PL APT 21G
Practice Address - Street 2:
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-7589
Practice Address - Country:US
Practice Address - Phone:785-330-6898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-29
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-83457-052363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily