Jordan Willis
Orthopaedic Surgery in Emporia, KS. Individual provider (NPI-1).
NPI number1982197364
StatusActive
Last updated in NPPESJul 11, 2025
Details
- NPI
- 1982197364
- Entity type
- Individual (NPI-1)
- Name
- Jordan Willis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2018
- Certification date
- Jul 11, 2025
- Last updated
- Jul 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 04-49597 | KS | Yes |
Practice location
1301 W 12th Ave Ste 105Emporia, KS 66801
Phone 620-340-6181 · Fax 620-342-6182
Mailing address
1201 W 12th AveEmporia, KS 66801-2504
Phone 620-343-6800 · Fax 620-341-7821
Other practice locations
1010 N Kansas St
Wichita, KS 67214-3124
Wichita, KS 67214-3124
Phone 316-268-5988
6265 Rock Chalk Dr Ste 1500
Lawrence, KS 66049-5232
Lawrence, KS 66049-5232
Phone 785-843-9125 · Fax 785-505-5312
1201 W 12th Ave
Emporia, KS 66801
Emporia, KS 66801
Phone 620-343-6800 · Fax 620-341-7821
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