Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bradley Willis

Individual provider Pharmacist · NPI 1558893412

Bradley Willis is a Pharmacist in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2017.

Licensed in
TN
In the registry since
2017

Practice location Address checks out

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone: (423) 224-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 40632 (TN)

Record details

NPI number1558893412
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 30, 2017
Mailing address130 W Ravine Rd, Kingsport, TN 37660-3837

Other providers in Kingsport