Kerry C Willis, CRNP
NPI #1295701266 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1295701266
- Entity Type
- Individual
- Name
- Kerry C Willis, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- CRNP
- Enumeration Date
- Feb 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 57 W JUNIPER ST
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18201-6410
- Phone
- (570) 501-1017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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