Kenneth Dean Willis in Huntsville - Pain Medicine
Kenneth Dean Willis - NPI 1053486704
Kenneth Dean Willis is a Pain Medicine in Huntsville, Alabama. Kenneth Dean Willis practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Kenneth Dean Willis is 1053486704. The last update date is 2017-01-06.
Kenneth Dean Willis's current location address is Po Box 18084, Huntsville, Alabama. You can contact this provider via phone number 2568822003 and fax number 2567054630. The mailing address for Kenneth Dean Willis is Po Box 18084, Huntsville, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Dean Willis |
|---|---|
| Address | Po Box 18084, Huntsville, Alabama |
| Phone Number | 2568822003 |
| Fax Number | 2567054630 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1053486704 |
|---|---|
| Provider Enumeration Date | 2006-11-21 |
| Last Updated Date | 2017-01-06 |
Provider Mailing Address Detail
| Address | Po Box 18084 |
|---|---|
| City | Huntsville |
| State | Alabama (AL) |
| Post Code | 358048084 |
| Phone Number | 2568822003 |
| Fax Number | 2567054630 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | 12320 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 529908240 | AL | -- |
Post Comment/ Review Below
What is the Kenneth Dean Willis's unique identification number?
The Kenneth Dean Willis has been assigned the NPI (National Provider Identifier) Number 1053486704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Kenneth Dean Willis?
The Kenneth Dean Willis is situated at Po Box 18084, in the city of Huntsville, state of AL, with the zip code 358048084.
What is Kenneth Dean Willis's area of expertise and its corresponding taxonomy classification?
The Kenneth Dean Willis's field of specialization is Pain Medicine, and it falls under the taxonomy code 207Lp2900X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1053486704 to Kenneth Dean Willis?
The Centers for Medicare & Medicaid Services assigned the 1053486704 to Kenneth Dean Willis on 2006-11-21.
When was the Kenneth Dean Willis's information last updated?
The Kenneth Dean Willis's information was last updated on 2017-01-06.