MR. JERAMY WILLIS, KCSA

Physician Assistant - Surgical

Active Individual
NPI: 1780867473

Practice Address

1945 SCOTTSVILLE RD
B2 PMB 397
Bowling Green, KY 42104

Phone: (270) 781-4828

Specialties

Specialty Code Primary License
Physician Assistant - Surgical 363AS0400X Yes SA164 (KY)

Frequently Asked Questions

NPI 1780867473 is the National Provider Identifier for MR. JERAMY WILLIS, KCSA, a Physician Assistant - Surgical provider located in Bowling Green, KY. This NPI was enumerated on December 17, 2007.
MR. JERAMY WILLIS, KCSA practices at 1945 SCOTTSVILLE RD, B2 PMB 397, Bowling Green, KY 42104.

Quick Facts

NPI
1780867473
Type
Individual
Enumerated
Dec 17, 2007
Last Updated
Dec 17, 2007

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