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Individual
KEVIN J WILLIS
Active
Individual
KEVIN J WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25530
KY
207Q00000X
Family Medicine Physician
35.053911
OH
208M00000X
Hospitalist Physician
25530
KY
Other
Enumeration date
03/13/2007
Last updated
04/07/2017
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