Individual ProviderKelli WilliamsSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address235 9th Ave N, Jacksonville, FL 32250-7142(904) 307-1129PECOS EnrollmentBased on the most recent information from CMS, provider Kelli Williams does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1386200574Provider TypeIndividualFull NameWilliams, KelliGenderFemaleSole ProprietorYesEnumeration Date5/14/2019Last Updated5/14/2019Contact InformationPractice LocationPractice Address235 9th Ave N, Jacksonville, FL 32250-7142Phone(904) 307-1129FaxUnlisted FaxMailing LocationMailing Address235 9th Ave N, Jacksonville, FL 32250-7142Phone(904) 307-1129FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseSZ9008Florida