Mr. Kenneth Willoughby Jr., PA-C
Mr. Kenneth Willoughby Jr., PA-C is a Medical Physician Assistant in Avon Lake, Ohio. Licensed in South Carolina. Registered with an NPI since 2007.
- Licensed in
- SC
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
32051 Grove StAvon Lake, OH 44012-1906
Phone: (440) 930-2802
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 4370 (SC) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X |
Record details
| NPI number | 1427240019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 16, 2007 |
| Last updated in NPPES | May 6, 2025 |
| Certification date | May 6, 2025 |
Medicare patients and services, 2024
| Medicare patients | 437 |
|---|---|
| Services billed | 483 |
| Average patient age | 76 |