Willis, Khiana Keren

Willis, Khiana Keren is an sole proprietor health care provider with primary practice located at 4646 John R St Detroit Vamc Outpatient Pharmacy, Detroit MI 48201-1916. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Willis, Khiana Keren can be contacted via phone (313) 576-1000.

Contact Information

Primary practice address
4646 John R St Detroit Vamc Outpatient Pharmacy Detroit MI 48201-1916
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 19394 Maryland
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5302040102 Michigan

Profile Details

NPI number 1720311319
LBN Legal business name Willis, Khiana Keren
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2009
Last updated Nov 14th, 2012 - about 12 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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