Search › Ohio › 172V00000X
Kenyatta Willoughby
NPI 1235546433 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2994 Sandridge Ave
Columbus, OH 43224 - Phone
- (614) 607-8629
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio