MISS Kathleen Michelle Willis, COMMUNITY HEALTH WOR

NPI #1912541251 in Ely, Minnesota

Provider Information

NPI Number: 1912541251
Entity Type: Individual
Name: MISS Kathleen Michelle Willis, COMMUNITY HEALTH WOR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Credential: COMMUNITY HEALTH WOR
Enumeration Date: Oct 30, 2019
Last Updated: Oct 30, 2019

Practice Location

Address: 715 S CENTRAL AVE
City: Ely
State: Minnesota
ZIP Code: 55731-1337
Phone: (218) 235-9539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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