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NPI Code Detail

MEDICARE: MR. STEVEN LEE WILLETT MD

MEDICARE:  MR. STEVEN LEE WILLETT  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician35.057360OH
2207V00000XObstetrics & Gynecology Physician28436KY
3207VG0400XGynecology Physician28436KY

Other Identifiers

General Provider Information

NPI Number : 1194749689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. STEVEN LEE WILLETT MD
Provider Business Mailing Address
First Line : PO BOX 635283
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-5283
Country : US
Telephone Number : 859-525-1846
Fax Number : 859-647-3355
Provider Business Practice Location Address
First Line : 1400 GRAND AVE
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2570
Country : US
Telephone Number : 859-781-6222
Fax Number : 859-572-2244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 10/17/2023

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Directions to “ MR. STEVEN LEE WILLETT MD” Practice Location

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