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KEITH EVERETT WILLS PA
NPI 1649321753
Physician Assistant in New York, NY

Active since January 15, 2007
130 W 12TH ST, NEW YORK, NY 10011(212) 604-7818 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Everett Wills Pa NPPES

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

KEITH EVERETT WILLS PA (NPI 1649321753) is an individual physician assistant in New York, New York, licensed in New York (010835) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1649321753
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKEITH EVERETT WILLSCredential: PA
Location Address130 W 12TH STNew York, NY 10011-8271
Mailing Address11 Lawrence StNyack, NY 10960-2922
Phone(212) 604-7818
Sole ProprietorNo
Enumeration DateJanuary 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649321753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 010835
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
130 W 12TH ST, New York, NY 10011
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Other Providers at the Same Location NPPES 4

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

DR. RUTH EDITH SMITH MD
Internal Medicine
130 W 12TH ST, SUITE 1A
NEW YORK, NY 10011
New York County (212) 604-1539
MANHATTAN ENDOCRINOLOGIST PLLC
Legal Medicine
130 W 12TH ST, SUITE 7D
NEW YORK, NY 10011
New York County (212) 675-9332
GODFREY CLARK BURNS M.D.
Internal Medicine (Nephrology)
130 W 12TH ST
NEW YORK, NY 10011
New York County (212) 604-8322
DR. OLGA LEONARDI MD
Specialist
130 W 12TH ST
NEW YORK, NY 10011
New York County (212) 675-9332

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 Keith Wills's NPI number?

The NPI number for Keith Wills is 1649321753. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Keith Wills located?

Keith Wills practices at 130 W 12th St, New York, NY 10011. The listed phone number is (212) 604-7818.

What is Keith Wills's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Keith Wills was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.