Kellyn Lavon Williams, LPN is a
Licensed Vocational Nurse based in Sparks, Nevada. Kellyn Lavon Williams is licensed to practice in Nevada (license number 857231) and her current practice location is
2219 Butte Creek Dr, Sparks, Nevada. She can be reached at her office (for appointments etc.) via phone at
(775) 232-7718.
NPI number for Kellyn Lavon Williams is 1033902655 and her current mailing address is 2219 Butte Creek Dr, Sparks, Nevada. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033902655.
Provider's Profile
| Full Name | Kellyn Lavon Williams |
|---|
| Gender | Female |
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| Speciality | Licensed Vocational Nurse |
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| Location | 2219 Butte Creek Dr, Sparks, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033902655
- Provider Enumeration Date: 05/27/2025
- Last Update Date: 05/27/2025
Medical Identifiers
Medical identifiers for Kellyn Lavon Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033902655 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164X00000X | Licensed Vocational Nurse | 857231 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kellyn Lavon Williams is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kellyn Lavon Williams, LPN
2219 Butte Creek Dr,
Sparks, NV 89436-9450
Ph: (775) 232-7718 | Kellyn Lavon Williams, LPN
2219 Butte Creek Dr,
Sparks, NV 89436-9450
Ph: (775) 232-7718 |
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