Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith Everett Wills, PA

Individual provider Physician Assistant · NPI 1649321753

Keith Everett Wills, PA is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

130 W 12th St
New York, NY 10011-8271 Not confirmed with CMS for 19 years — call before visiting
Phone: (212) 604-7818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 010835 (NY)

Record details

NPI number1649321753
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2007
Last updated in NPPESJuly 8, 2007

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