Individual
KRISTIN L. WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2451 INTELLIPLEX DR, STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
(317) 398-0538
Mailing address
30 W RAMPART ST, STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-002954
IL
363A00000X
Physician Assistant
Primary
10003196A
IN
Other
Enumeration date
04/06/2007
Last updated
03/01/2024
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