1. Home
  2. Directory
  3. Alabama
  4. Huntsville
  5. Anesthesiology
  6. NPI Profile

DR. KENNETH DEAN WILLIS M.D.
NPI 1053486704
Anesthesiology - Pain Medicine in Huntsville, AL

Active since November 21, 2006
3007 MEMORIAL PKWY SW, HUNTSVILLE, AL 35801(256) 882-2003(256) 705-4630 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Dean Willis M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH DEAN WILLIS M.D. (NPI 1053486704) is an individual pain medicine provider in Huntsville, Alabama, licensed in Alabama (12320) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053486704
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. KENNETH DEAN WILLISCredential: M.D.
Location Address3007 MEMORIAL PKWY SWHuntsville, AL 35801-5393
Mailing AddressPo Box 18084Huntsville, AL 35804-8084 · (256) 882-2003 · Fax (256) 705-4630
Phone(256) 882-2003
Fax(256) 705-4630
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1053486704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in AL · 12320
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

3007 MEMORIAL PKWY SW, Huntsville, AL 35801
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN00098275AL
Medicaid529908240AL

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA PHILLIPS ELMORE CRNP
Nurse Practitioner (Women's Health)
3007 MEMORIAL PKWY SW, STE C
HUNTSVILLE, AL 35801
Madison County (256) 382-3344
DR. MARK ELLIOTT APPEL O.D.
Optometrist
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 650-0045
PEARLE VISION
Technician/Technologist (Optician)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 881-2007
MELANIE ANN LUVALL LCSW
Social Worker (Clinical)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 882-2003
COVENANT PAIN THERAPIES CENTER, INC
Pain Medicine (Interventional Pain Medicine)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 882-2003
DANIEL G MCDONOUGH MD
Psychiatry & Neurology (Psychiatry)
3007 MEMORIAL PKWY SW, SUITE C
HUNTSVILLE, AL 35801
Madison County (256) 799-2500
DIANA MARIE HANKEY UNDERWOOD WHNP-BC
Nurse Practitioner
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 799-2500
DR. JAMES M GEORGE PSY.D
Psychologist (Clinical)
3007 MEMORIAL PKWY SW
HUNTSVILLE, AL 35801
Madison County (256) 882-2003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Willis's NPI number?

The NPI number for Kenneth Willis is 1053486704. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Kenneth Willis located?

Kenneth Willis practices at 3007 Memorial Pkwy SW, Huntsville, AL 35801. The listed phone number is (256) 882-2003.

What is Kenneth Willis's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

When was this NPI record last updated?

The NPPES record for Kenneth Willis was last updated on January 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.