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

Kent Willis, DO

Individual provider Hospitalist Physician · NPI 1114306131

Kent Willis, DO is a Family Practice in Pleasant Grove, Utah. Qualified in 2015, 11 years ago. Practices with Premier Family Medical, a 84-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
11
Licensed in
UT
In the registry since
2015
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

830 N 2000 W
Pleasant Grove, UT 84062
Phone: (801) 756-3511
Show map & directions

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

Additional practice locations (2)

  • 3291 Loma Vista Rd, Ventura, CA 93003-3099 — (805) 652-6100
  • 5505 S 900 E Ste 240, Murray, UT 84117-7210 — (801) 783-5011

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10701125-1204 (UT)
Hospitalist Physician Taxonomy 208M00000X · Licence 10701125-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114306131
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2015
Last updated in NPPESJuly 13, 2018
Mailing address830 N 2000 W, Pleasant Grove, UT 84062-4047

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Premier Family Medical — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount