DR. KELLI WONG WILLIAMS (NPI# 1902030042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902030042 |
| Entity Type | Individual |
| Full Name | DR. KELLI WONG WILLIAMS |
| Credential | M.D., M.P.H. |
| Practice Address |
2125 Charlie Hall Blvd Charleston SC 29414-5879 |
| Mailing Address |
Po Box 602108 Charlotte NC 28260-2108 |
| Practice Telephone | 8438763151 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
31927 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2060 Sam Rittenberg Blvd, Charleston, SC 294074616 | 8437921414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835648 | Kelli Williams | Dentist | 3162 S Hannibal St, Aurora, CO 80013-1750 | 2020-06-10 |
| 1912552738 | Kelli L Williams | Respiratory Therapist, Registered | 10 Colony Blvd Apt 505, Wilmington, DE 19802-1458 | 2019-08-08 |
| 1316149115 | Kelli Denise Williams | Social Worker | 90 N 31st St, Clinton, OK 73601-9116 | 2007-06-04 |
| 1477154888 | Kelli Williams | Pharmacist | 400 Junction Dr, Glen Carbon, IL 62034-4323 | 2020-11-03 |
| 1386200574 | Kelli Williams | Speech-Language Pathologist | 235 9th Ave N, Jacksonville, FL 32250-7142 | 2019-05-14 |
| 1376041871 | Kelli Williams | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-01-30 |
| 1285170282 | Kelli D. Williams | Physician Assistant | 10475 Centurion Pkwy N, Suite 104, Jacksonville, FL 32256-5003 | 2017-01-13 |
| 1902358674 | Kelli Williams | Counselor | 1100 W 21st St, Clovis, NM 88101-4151 | 2016-10-28 |
| 1831590546 | Kelli Williams | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2014-09-12 |
| 1255566089 | Kelli Mccauley Williams | Internal Medicine | 231 Albert Sabin Way, Cincinnati, OH 45267-2827 | 2009-05-22 |
| Street Address |
2125 CHARLIE HALL BLVD |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29414-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518931682 | Carolina Family Care, Inc | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2006-02-15 |
| 1659560670 | Medical University of South Carolina | Clinic/Center | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2007-10-16 |
| 1356538102 | Michael J Manneraak | Physical Therapist | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2007-09-26 |
| 1568658540 | John Edward Austin | Occupational Therapist | 2125 Charlie Hall Blvd, Dept. of Ot/pt, Charleston, SC 29414-5879 | 2007-09-24 |
| 1831207885 | James C Oates | Internal Medicine | 2125 Charlie Hall Blvd, Charleston, SC 29414-5879 | 2006-08-29 |
| 1760413835 | University Medical Associates | Clinic/Center | 2125 Charlie Hall Blvd, Suite 100, Charleston, SC 29414-5879 | 2006-07-06 |
| 1750318101 | Carolina Family Care, Inc | Pediatrics | 2125 Charlie Hall Blvd, Suite 2a, Charleston, SC 29414-5879 | 2006-06-28 |
| 1457327181 | Kelly Anne Clay | Internal Medicine | 2125 Charlie Hall Blvd, Suite - 2b, Charleston, SC 29414-5879 | 2006-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902444508 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 3865 West Ashley Circle, Charleston, SC 29414 | 2019-12-13 |
| 1215440169 | Christine Michelle Delcioppo | Nurse Practitioner | 2085 Henry Tecklenburg Dr Fl 2or2, Charleston, SC 29414 | 2017-11-14 |
| 1871013508 | Carolyn Sorenson | Assistant Behavior Analyst | 2218 Hunter Creek Dr, Charleston, SC 29414 | 2017-06-23 |
| 1205387354 | Rachel Klatt | Physical Therapist | 2230 Ashley Crossing Dr., Charleston, SC 29414 | 2016-10-24 |
| 1295286912 | Mary M Butler | Physical Therapy Assistant | 2230 Ashley Crossing Drive, Charleston, SC 29414 | 2016-10-18 |
| 1295104982 | Charlene Barbot | Registered Nurse | 3741 Clover St, Charleston, SC 29414 | 2015-09-23 |
| 1720467525 | Sasha M. Perez | Family Medicine | 3030 Ashley Town Center Dr Ste 102a, Charleston, SC 29414 | 2015-05-26 |
| 1104226240 | Angela Mcinvale | Counselor | 3030 Ashley Town Center Dr., Bldg. B-203, Charleston, SC 29414 | 2014-08-26 |
| 1659790087 | Catherine Jefferson Vanderwerker | Physical Therapist | 3019 Saintsbury Cove Dr, Charleston, SC 29414 | 2014-04-14 |
| 1104266741 | Elizabeth A Burguieres | Psychiatry & Neurology | Scdmh- Charleston Telepsychiatry Office, 706 Orleans Rd, Charleston, SC 29414 | 2013-06-27 |
| Find all providers in zip 29414 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| City | CHARLESTON |
| Zip Code | 29414 |
Please comment or provide details below to improve the information on DR. KELLI WONG WILLIAMS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.