National Provider Identifier

Keith C Williams, PMHNP

Keith C Williams, PMHNP is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner in Elmira, NY and a listed phone number of (607) 732-1310.

NPI 1649701533Elmira, NYPsychiatric/Mental Health Nurse Practitioner

Profile Overview

NPI
1649701533
Provider Type
Individual
Primary Specialty
Psychiatric/Mental Health Nurse Practitioner
Enumeration Date
March 23, 2017
Last Updated
September 11, 2024

Practice Location

  • 200 Madison Ave Ste 2B
  • Elmira, NY 14901-3219

Phone: (607) 732-1310

Mailing Address

  • 600 Ivy St Ste 206
  • Elmira, NY 14905-1627

Specialties

  • Psychiatric/Mental Health Nurse Practitioner (363LP0808X)
Full Record
NPI
1649701533
Entity Type
Individual
Last Name
Williams
First Name
Keith
Middle Name
C
Credential
PMHNP
Mailing Street Address
600 Ivy St Ste 206
Mailing City
Elmira
Mailing State
NY
Mailing ZIP Code
14905-1627
Mailing Country
US
Mailing Phone
(607) 271-2050
Mailing Fax
(607) 271-2071
Practice Street Address
200 Madison Ave Ste 2B
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14901-3219
Practice Country
US
Practice Phone
(607) 732-1310
Practice Fax
(607) 733-0940
Enumeration Date
March 23, 2017
Last Updated
September 11, 2024
Sex
Male
Sole Proprietor
No
Certification Date
September 11, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatric/Mental Health Nurse Practitioner (363LP0808X)