WILLOW TREE PAIN AND ADDICTION CLINIC, PLLC
NPI 1205582665
Clinic/Center - Pain in Kinston, NC

Active since February 24, 2022
703 ROSANNE DR # D, KINSTON, NC 28504(252) 643-2630(252) 643-2628 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2022, Feb 24, 2022 (2 updates tracked since 2022).

About Willow Tree Pain And Addiction Clinic, Pllc NPPES

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

WILLOW TREE PAIN AND ADDICTION CLINIC, PLLC (NPI 1205582665) is a healthcare organization registered as a pain in Kinston, North Carolina and active in the NPI registry since February 2022. The organization lists Cora Paulette Kearley, Acnp/owner, as its authorized official.

NPPES Registry Identity

NPI1205582665
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameWILLOW TREE PAIN AND ADDICTION CLINIC, PLLC
Location Address703 ROSANNE DR # DKinston, NC 28504-1551
Mailing Address703 Rosanne Dr # DKinston, NC 28504-1551 · (252) 643-2630 · Fax (252) 643-2628
Fax(252) 643-2628
Organization SubpartNo
Authorized OfficialCora Paulette KearleyAcnp/owner · (252) 864-3852
Enumeration DateFebruary 24, 2022
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
NPI 1205582665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
703 ROSANNE DR # D, Kinston, NC 28504

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 Willow Tree Pain And Addiction Clinic, PLLC's NPI number?

The NPI number for Willow Tree Pain And Addiction Clinic, PLLC is 1205582665. It was assigned to this organization in the NPPES registry on February 24, 2022.

Where is Willow Tree Pain And Addiction Clinic, PLLC located?

Willow Tree Pain And Addiction Clinic, PLLC is located at 703 Rosanne Dr # D, Kinston, NC 28504. The listed phone number is (252) 643-2630.

What is Willow Tree Pain And Addiction Clinic, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

When was this NPI record last updated?

The NPPES record for Willow Tree Pain And Addiction Clinic, PLLC was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.