Willis, Kerry C
Willis, Kerry C is an individual health care provider with primary practice located at 57 W Juniper St , Hazleton PA 18201-6410. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Willis, Kerry C can be contacted via phone (570) 501-1017.Contact Information
Primary practice address
57 W Juniper St
Hazleton PA 18201-6410
Phone: (570) 501-1017
Fax: (570) 501-2695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | TP007004B | Pennsylvania |
Profile Details
| NPI number | 1295701266 |
|---|---|
| LBN Legal business name | Willis, Kerry C |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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