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

Kent Willis, DO

Individual provider Hospitalist Physician · NPI 1114306131

Kent Willis, DO is a Family Practice in Pleasant Grove, Utah. Qualified in 2015, 11 years ago. Practices with Premier Family Medical, a 84-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

830 N 2000 W
Pleasant Grove, UT 84062
Phone: (801) 756-3511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3291 Loma Vista Rd, Ventura, CA 93003-3099 — (805) 652-6100
  • 5505 S 900 E Ste 240, Murray, UT 84117-7210 — (801) 783-5011

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10701125-1204 (UT)
Hospitalist Physician Taxonomy 208M00000X · Licence 10701125-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114306131
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESJuly 13, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount