WILLOW PAIN AND WELLNESS, LLC - NPI 1093188096

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.

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About Willow Pain And Wellness, Llc NPPES

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

WILLOW PAIN AND WELLNESS, LLC (NPI 1093188096) is a healthcare organization registered as a pain in Oxford, Mississippi and active in the NPI registry since November 2015. The organization maintains a secondary practice location in Batesville and lists Kirk L. Kinard, Owner, as its authorized official.

NPPES Registry Identity

NPI1093188096

Entity TypeOrganization

Primary Taxonomy261QP3300X

Legal Business NameWILLOW PAIN AND WELLNESS, LLC

Location Address2215 JEFFERSON DAVIS DROxford, MS 38655-5221

Mailing AddressPo Box 2730Oxford, MS 38655-4200 · (662) 638-0462 · Fax (866) 658-0083

Phone(662) 638-0462

Fax(866) 658-0083

Organization SubpartNo

Authorized OfficialKirk L. KinardOwner · (662) 638-0462

Enumeration DateNovember 12, 2015

Last NPPES UpdateJuly 1, 20244 updates tracked since enumeration

NPPES CertifiedJuly 1, 2024

✔ NPI 1093188096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities

Taxonomy Code261QP3300X

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X

2215 JEFFERSON DAVIS DR, Oxford, MS 38655

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Secondary Practice Location 1

Location 1303 Medical Center DrBatesville, MS 38606-8608 · Phone (662) 638-0462 · Fax (866) 658-0083

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

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