Provider Demographics
NPI:1366766818
Name:WILLIAMS-LEWIS, KERRI DANETTE
Entity type:Individual
Prefix:MRS
First Name:KERRI
Middle Name:DANETTE
Last Name:WILLIAMS-LEWIS
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 1:906 BERNICE ST # 401
Mailing Address - Street 2:
Mailing Address - City:OPELOUSAS
Mailing Address - State:LA
Mailing Address - Zip Code:70570-3136
Mailing Address - Country:US
Mailing Address - Phone:337-948-0054
Mailing Address - Fax:337-948-0054
Practice Address - Street 1:906 BERNICE ST # 401
Practice Address - Street 2:
Practice Address - City:OPELOUSAS
Practice Address - State:LA
Practice Address - Zip Code:70570-3136
Practice Address - Country:US
Practice Address - Phone:337-948-0054
Practice Address - Fax:337-948-0054
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No372500000XNursing Service Related ProvidersChore Provider
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide