Willis, Kimberly Rachelle

Willis, Kimberly Rachelle is an sole proprietor health care provider with primary practice located at 1600 W 40Th Ave , Pine Bluff AR 71603-6301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Willis, Kimberly Rachelle can be contacted via phone (870) 541-8767.

Contact Information

Primary practice address
1600 W 40Th Ave Pine Bluff AR 71603-6301
Phone: (870) 541-8767
Fax: (870) 541-8761
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-5445 Arkansas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2009-01271 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2009-01271 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X E-5445 Arkansas

Profile Details

NPI number 1487852562
LBN Legal business name Willis, Kimberly Rachelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2024 - about 5 months 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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