Dr. Kenneth Lee Willeford, MD
Dr. Kenneth Lee Willeford, MD is a Pain Management in Supply, North Carolina. Graduated from George Washington University School of Medicine in 1988, 38 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.
- Years since qualifying
- 38
- Trained at
- George Washington University School of Medicine
- Licensed in
- NC
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
10 Doctors Cir Ste 2Supply, NC 28462-4089
Phone: (910) 755-6060
Fax: (910) 939-1659
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 416 Main St, North Myrtle Beach, SC 29582-3024 — (910) 755-6060
Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence 36621 (NC) |
|---|
Record details
| NPI number | 1912917865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 9, 2006 |
| Last updated in NPPES | July 9, 2025 |
| Certification date | July 9, 2025 |
Medicare enrollment
| Medicare specialty | PAIN MANAGEMENT |
|---|---|
| Medical school | GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1988 (38 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Supply
-
Carolina Rehabilitation Inc
20 Medical Campus Dr NW Ste 104, Supply, NC 28462-4094 · (910) 755-5861