Willis, Kevin J

Willis, Kevin J is an individual health care provider with primary practice located at 2201 Lexington Ave , Ashland KY 41101-2843. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Willis, Kevin J can be contacted via phone (606) 408-4000.

Contact Information

Primary practice address
2201 Lexington Ave Ashland KY 41101-2843
Phone: (606) 408-4000
Fax: (606) 408-7426
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25530 Kentucky
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.053911 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 25530 Kentucky

Profile Details

NPI number 1700919776
LBN Legal business name Willis, Kevin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Apr 7th, 2017 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700919776 NPPES
Ohio MEDICAID 0628922
Ohio MEDICAID 64255300
Ohio Other 000000161894
Ohio MEDICAID 3810010701

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