Kwin Leslie Willis, is a
Marriage & Family Therapist based in Richmond, Utah. Kwin Leslie Willis is licensed to practice in Utah (license number 9578164-3902) and his current practice location is
44 N Highway 91 Ste 1, Richmond, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 535-5784.
NPI number for Kwin Leslie Willis is 1881940302 and his current mailing address is 825 East 1090 South, Provo, Utah. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881940302.
Healthcare Provider's Profile
Full Name | Kwin Leslie Willis |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 44 N Highway 91 Ste 1, Richmond, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881940302
- Provider Enumeration Date: 08/02/2012
- Last Update Date: 10/23/2019
Medical Identifiers
Medical identifiers for Kwin Leslie Willis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881940302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 9578164-3902 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kwin Leslie Willis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kwin Leslie Willis, 825 East 1090 South, Provo, UT 84606 Ph: () - | Kwin Leslie Willis, 44 N Highway 91 Ste 1, Richmond, UT 84333-1419 Ph: (435) 535-5784 |
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