Willett, Angela M

Willett, Angela M is an individual health care provider with primary practice located at 2605 Kentucky Ave Suite 202, Paducah KY 42003-3800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Willett, Angela M can be contacted via phone (270) 415-4690.

Contact Information

Primary practice address
2605 Kentucky Ave Suite 202 Paducah KY 42003-3800
Phone: (270) 415-4690
Fax: (270) 415-4691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3004243 Kentucky

Profile Details

NPI number 1558348573
LBN Legal business name Willett, Angela M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Dec 16th, 2020 - about 6 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558348573 NPPES
Kentucky MEDICAID 78012325

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