Kenneth W. Willis in Skillman - Psychiatry
Kenneth W. Willis - NPI 1356431696
Kenneth W. Willis is a Psychiatry in Skillman, New Jersey. Kenneth W. Willis practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kenneth W. Willis is 1356431696. The last update date is 2007-07-08.
Kenneth W. Willis's current location address is 168 Tamarack Cir, Skillman, New Jersey. You can contact this provider via phone number 6094971560. The mailing address for Kenneth W. Willis is 168 Tamarack Cir, Skillman, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth W. Willis |
|---|---|
| Address | 168 Tamarack Cir, Skillman, New Jersey |
| Phone Number | 6094971560 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356431696 |
|---|---|
| Provider Enumeration Date | 2006-10-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 168 Tamarack Cir |
|---|---|
| City | Skillman |
| State | New Jersey (NJ) |
| Post Code | 85582021 |
| Phone Number | 6094971560 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 25MA04067300 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3939901 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth W. Willis by the Centers for Medicare & Medicaid Services?
The Kenneth W. Willis has been assigned the NPI (National Provider Identifier) 1356431696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kenneth W. Willis is geographically located?
The Kenneth W. Willis is physically situated at the following location: 168 Tamarack Cir, Skillman, NJ, 85582021.
What is the area of specialization for Kenneth W. Willis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth W. Willis is Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356431696 to Kenneth W. Willis?
The Centers for Medicare & Medicaid Services originally issued the 1356431696 to Kenneth W. Willis on 2006-10-16.
As of what date were the details pertaining to Kenneth W. Willis last refreshed?
The information related to the Kenneth W. Willis, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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