Provider Demographics
NPI:1598571630
Name:WILLIAMS, YONNIS KIMMOR
Entity type:Individual
Prefix:
First Name:YONNIS
Middle Name:KIMMOR
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 1:172 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-2716
Mailing Address - Country:US
Mailing Address - Phone:234-237-6890
Mailing Address - Fax:
Practice Address - Street 1:172 CENTER RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2716
Practice Address - Country:US
Practice Address - Phone:234-237-6890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker