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

Individual provider Community Health Worker · NPI 1235546433

Kenyatta Willoughby is a Community Health Worker in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2014
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Practice location Address checks out

2994 Sandridge Ave
Columbus, OH 43224-6827
Phone: (614) 607-8629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 2771460 (OH)

Record details

NPI number1235546433
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2014
Last updated in NPPESJuly 20, 2014
Mailing address2994 Sandridge Ave, Columbus, OH 43224-6827

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