MR. Kenneth Raymond Willoughby, PA-C is a medical physician assistant in Avon Lake, OH. MR. Kenneth Raymond Willoughby, PA-C NPI is 1427240019. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
32051 GROVE ST
AVON LAKE, OH
ZIP 44012-906
Phone: (440) 930-2802
The NPI 1427240019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.