CORBIN KEITH WILLIS PA-C NPI 1891212874

NPI Information

Corbin Keith Willis, PA-C is a medical physician assistant in Columbus, OH with 7 years of experience. Corbin Keith Willis, PA-C NPI is 1891212874. 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:

3535 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43214-908
Phone: (614) 566-4578

The NPI 1891212874 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 8/29/2017 and was last updated on 10/18/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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