IndividualActive
Mary Willis, RN
NPI 1346499241 · Community Health Clinic/Center · Fort Leavenworth, KS
Provider details
- NPI number
- 1346499241
- Entity type
- Individual
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1378828-102 (KS)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
550 Pope Ave
Fort Leavenworth, KS 66027-2332
Phone: (913) 684-6671
Approximate (ZIP-level) locationGet directions
Mailing address
502 3rd St
Winchester, KS 66097-4152
Registry dates
- Enumerated
- 2008-09-16
- Last updated
- 2008-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.