Individual
KENNA MARIE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
801 COLONIAL CIR, NORWALK, IA 50211-9626
(515) 285-3200
(515) 285-3232
Mailing address
801 COLONIAL CIR, NORWALK, IA 50211-9626
(515) 285-3200
(515) 285-3232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002012
IA
363AM0700X
Medical Physician Assistant
002012
IA
Other
Enumeration date
07/22/2009
Last updated
07/01/2015
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