NPI 1063472140

Kathleen H. Willis, MD

Practitioner Emergency Medicine Physician Independence, LA

Practice location

Address: 52579 Highway 51 S, Independence, LA 70443-2231
Phone: (800) 377-8721
Fax: (304) 523-2241
Mailing address: PO Box 65074, Charlotte, NC 28265-0074

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD024877 (LA)

Other Emergency Medicine providers in Louisiana →

Registry record

NPI: 1063472140
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2006
Record last updated: 14 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.