MR. Kenneth Willoughby JR., PA-C

NPI #1427240019 in Avon Lake, Ohio

Provider Information

NPI Number: 1427240019
Entity Type: Individual
Name: MR. Kenneth Willoughby JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 16, 2007
Last Updated: May 6, 2025

Practice Location

Address: 32051 GROVE ST
City: Avon Lake
State: Ohio
ZIP Code: 44012-1906
Phone: (440) 930-2802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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