Active NPIIndividual providerSole proprietor

Dr. Kenneth W Willis, MD

Psychiatry & Neurology, Psychiatry in Skillman, New Jersey

NPI Number1356431696
Practice location
168 Tamarack Cir, Skillman, NJ 08558-2021
Fax
—
Last updated
July 8, 2007

Kenneth W. Willis is a Psychiatry & Neurology, Psychiatry based in Skillman, NJ. Kenneth W. Willis practices in Skillman, NJ and has the professional credentials of MD. The NPI Number for Kenneth W. Willis is 1356431696 and holds a License No. 25MA04067300 (NJ). The current practice location address for Kenneth W. Willis is 168 Tamarack Cir, Skillman, NJ 08558-2021 and can be reached out via phone at 609-497-1560.

Provider Profile Details

NPI Number
1356431696
Provider Name
Kenneth W. Willis
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
168 Tamarack Cir, Skillman, NJ 08558-2021
Phone Number
609-497-1560
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
October 16, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
168 Tamarack Cir
Skillman, NJ 08558-2021
Zip
08558-2021
Phone Number
609-497-1560
Skillman, NJ 08558Get directions →

Provider Business Mailing Address Details

Address
168 Tamarack Cir
Skillman, NJ 08558-2021
City
Skillman
State
NJ
Zip
08558-2021
Phone Number
609-497-1560

License Information

License Number
25MA04067300
License State
NJ
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Psychiatry & Neurology, Psychiatry providers near Skillman, NJ

View all Psychiatry & Neurology, Psychiatry providers in Skillman →

Frequently Asked Questions

What is the NPI number of Dr. Kenneth W Willis, MD?

The NPI number of Dr. Kenneth W Willis, MD is 1356431696. It was assigned on October 16, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth W Willis, MD?

Dr. Kenneth W Willis, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in NJ under license number 25MA04067300.

Where does Dr. Kenneth W Willis, MD practice?

The practice location is 168 Tamarack Cir, Skillman, NJ 08558-2021. The office can be reached at 609-497-1560 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356431696 directly on the NPPES registry website.

Browse related providers