Kaci Dawn Willis, M.S.
Speech-Language Pathologist · Eagletown, OK
Practice location
110 Willis Spring RdEagletown, OK 74734-3413
- Phone
- (870) 784-1147
NPI record
- NPI
- 1053857722
- Entity type
- Individual (Type 1)
- Enumeration date
- January 18, 2017
- Last updated
- January 18, 2017
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
SP#P9074 | AR |
| Speech-Language Pathologist | 235Z00000X |
112453 | TX |
About Kaci Willis
Kaci Dawn Willis, M.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 110 Willis Spring Rd, Eagletown, OK 74734-3413. The NPI number 1053857722 was assigned on January 18, 2017 and the record was last updated on January 18, 2017.
Kaci Willis lists 2 licenses in the registry: #SP#P9074 (AR) for Speech-Language Pathologist; #112453 (TX) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kaci Dawn Willis, M.S.?
The NPI number is 1053857722.
What is the phone number of Kaci Willis?
The phone number listed for the practice location is (870) 784-1147.
Where is Kaci Willis located?
110 Willis Spring Rd, Eagletown, OK 74734-3413.
What is the taxonomy code for Kaci Willis?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.