DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KENT WILLADSEN, M.D.

Active

DR. KENT WILLADSEN, M.D. is a Family Medicine healthcare provider located in COUNCIL BLUFFS, Iowa. NPI 1780795898 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · COUNCIL BLUFFS, IA

Registration Details

NPI Number
1780795898
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.953832157834 yrs)
Last Updated
Dec 17, 2013
Licenses
20182 (NE)
32302 (IA)

Practice Information

Address
1001 RISEN SON BLVD
COUNCIL BLUFFS, IA, 515031910
Browse IA providers · Browse ZIP 51503
Phone
7122568600
Fax
7122568599
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in COUNCIL BLUFFS, IA

Name Credential NPI
CLARINE I COKER M.D. 1720078637
JENNIFER S KAY M.D. 1730179631
MR. KENNETH D BURKHART MD 1508856303
DR. CHERYL MADSON MD 1821053406
LINDA MABEL GARCIA-DORTA MD 1720036676
SHELLY NANDA M.D. 1598710584
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.