IndividualActive
Kenneth Willis, M.D.
NPI 1053486704 · Pain Medicine (Anesthesiology) Physician · Huntsville, AL
Provider details
- NPI number
- 1053486704
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 12320 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3007 Memorial Pkwy Sw
Huntsville, AL 35801-5393
Phone: (256) 882-2003
Fax: (256) 705-4630
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 18084
Huntsville, AL 35804-8084
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2017-01-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.