Provider Demographics
NPI:1194429605
Name:WILLIAMS, KAREN LYNN (MS, ED)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MS, ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-4611
Mailing Address - Country:US
Mailing Address - Phone:202-792-4107
Mailing Address - Fax:
Practice Address - Street 1:703 PORTER AVE APT 410
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-1822
Practice Address - Country:US
Practice Address - Phone:202-792-4107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach