Provider Demographics
NPI:1912862376
Name:WILLIAMS, KYASIA
Entity type:Individual
Prefix:
First Name:KYASIA
Middle Name:
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 1:1222 HERBERICH AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44301-1937
Mailing Address - Country:US
Mailing Address - Phone:330-957-9516
Mailing Address - Fax:
Practice Address - Street 1:1222 HERBERICH AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44301-1937
Practice Address - Country:US
Practice Address - Phone:330-957-9516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-18
Last Update Date:2025-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No372600000XNursing Service Related ProvidersAdult Companion