Search › Ohio › 363A00000X
Kenneth Willoughby, PA-C
NPI 1427240019 · on the registry since 2007
Practice
- Address
- 32051 Grove St
Avon Lake, OH 44012 - Phone
- (440) 930-2802
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-06
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