Individual
DR. KAMEKEA C WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2311 N PROSPECT AVE, PROSPECT MEDICAL COMMONS, MILWAUKEE, WI 53211-4445
(414) 319-3000
(414) 319-3033
Mailing address
4425 N PORT WASHINGTON RD, CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 326-2218
(414) 326-2208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01061132A
IN
207R00000X
Internal Medicine Physician
Primary
63616
WI
Other
Enumeration date
09/27/2006
Last updated
02/20/2015
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