person
Mr. Jeramy C. Willis, KCSA
Surgical Physician Assistant in Bowling Green, Kentucky
NPI 1780867473

Jeramy C. Willis is a Surgical Physician Assistant based in Bowling Green, KY and is specialized in Surgical. Jeramy C. Willis practices in Bowling Green, KY and has the professional credentials of KCSA. The NPI Number for Jeramy C. Willis is 1780867473 and holds a License No. SA164 (Kentucky).

The current practice location address for Jeramy C. Willis is 1945 Scottsville Rd, Bowling Green, KY and can be reached out via phone at 270-781-4828 and via fax at 270-781-4828.

Location: 1945 Scottsville Rd, Bowling Green, KY, 42104
person
Provider Profile Details
NPI Number
1780867473
Provider Name
Jeramy C. Willis
Credential
KCSA
Provider Entity Type
Individual
Gender
Male
Address
1945 Scottsville Rd, Bowling Green, KY, 42104
Phone Number
270-781-4828
Fax Number
270-781-4828
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1945 Scottsville Rd
City
State
Zip
42104-3376
Phone Number
270-781-4828
Fax Number
270-781-4828
person
Provider Business Mailing Address Details
Address
1945 Scottsville Rd
City
State
Zip
42104-3376
Phone Number
270-781-4828
Fax Number
270-781-4828
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
SA164 (Kentucky)
Definition
Definition to come...
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