Kim Wyatt is a Family Medicine in Springfield, Illinois. Kim Wyatt practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kim Wyatt is 1487609640. The last update date is 2015-02-27.
Kim Wyatt's current location address is 1025 S 6th St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Kim Wyatt is 1025 S 6th St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim Wyatt |
|---|---|
| Address | 1025 S 6th St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1487609640 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2015-02-27 |
Provider Mailing Address Detail
| Address | 1025 S 6th St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627032403 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36106337 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36106337 | IL | -- |
Post Comment/ Review Below
What is the Kim Wyatt's 1487609640?
The Kim Wyatt's NPI (National Provider Identifier) Number is 1487609640. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kim Wyatt's physical address?
The Kim Wyatt is physically located at 1025 S 6Th St, in the city of Springfield, IL, with the postal code 627032403.
What is the Kim Wyatt's specialty and taxonomy code?
The Kim Wyatt's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
When did Kim Wyatt receive its 1487609640 assignment?
The Kim Wyatt was assigned its 1487609640 on 2006-05-24, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Kim Wyatt, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kim Wyatt, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-02-27.