KENNYON GLENN WILLIS
NPI 1891130688
Counselor - Professional in Oklahoma City, OK

Active since May 07, 2013
1209 W HEFNER RD, APT 162, OKLAHOMA CITY, OK 73114(405) 305-9476 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kennyon Glenn Willis NPPES

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

KENNYON GLENN WILLIS (NPI 1891130688) is an individual professional provider in Oklahoma City, Oklahoma and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1891130688
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKENNYON GLENN WILLIS
Location Address1209 W HEFNER RD, APT 162Oklahoma City, OK 73114-7007
Mailing Address1209 W Hefner Rd, Apt 162Oklahoma City, OK 73114-7007 · (405) 305-9476
Sole ProprietorYes
Enumeration DateMay 7, 2013
NPI 1891130688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1209 W HEFNER RD, Oklahoma City, OK 73114

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1209 W HEFNER RD, 160
OKLAHOMA CITY, OK 73114

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 Kennyon Willis's NPI number?

The NPI number for Kennyon Willis is 1891130688. It was assigned to this individual provider in the NPPES registry on May 7, 2013.

Where is Kennyon Willis located?

Kennyon Willis practices at 1209 W Hefner Rd Apt 162, Oklahoma City, OK 73114. The listed phone number is (405) 305-9476.

What is Kennyon Willis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Kennyon Willis was last updated on May 7, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.