Individual provider · Type 1 NPI

Corbin Keith Willis, PA-C

Medical Physician Assistant · Columbus, OH

NPI number 1891212874 Active

Practice location

3535 Olentangy River Rd
Columbus, OH 43214-3908

Mailing address

2380 Ford Rd
Delaware, OH 43015-8774

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1891212874

Corbin Keith Willis, PA-C's National Provider Identifier is 1891212874, issued on Aug 29, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbus, OH. The record was last updated on Oct 18, 2017.