Willoughby, Kenneth Raymond

Willoughby, Kenneth Raymond is an individual health care provider with primary practice located at 32051 Grove St , Avon Lake OH 44012-1906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Willoughby, Kenneth Raymond can be contacted via phone (440) 930-2802.

Contact Information

Primary practice address
32051 Grove St Avon Lake OH 44012-1906
Phone: (440) 930-2802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1427240019
LBN Legal business name Willoughby, Kenneth Raymond
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 16 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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