Kristin L. Willis in Springfield - Physician Assistant
Kristin L. Willis - NPI 1063534253
Kristin L. Willis is a Physician Assistant in Springfield, Illinois. Kristin L. Willis practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristin L. Willis is 1063534253. The last update date is 2021-02-24.
Kristin L. Willis's current location address is 800 N 1st St, Springfield, Illinois. You can contact this provider via phone number 2175287541. The mailing address for Kristin L. Willis is 800 N 1st St, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin L. Willis |
|---|---|
| Address | 800 N 1st St, Springfield, Illinois |
| Phone Number | 2175287541 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1063534253 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2021-02-24 |
Provider Mailing Address Detail
| Address | 800 N 1st St |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627023719 |
| Phone Number | 2175287541 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 085-002954 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kristin L. Willis by the Centers for Medicare & Medicaid Services?
The Kristin L. Willis has been issued the NPI (National Provider Identifier) 1063534253 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kristin L. Willis?
The Kristin L. Willis is physically situated at 800 N 1St St, in the city of Springfield, state of IL, with the postal code 627023719.
What is Kristin L. Willis's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristin L. Willis's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1063534253 to Kristin L. Willis?
The Kristin L. Willis received its 1063534253 assignment from the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details related to Kristin L. Willis most recently updated or revised?
The information pertaining to Kristin L. Willis, including its address, specialty, and other relevant details, was last updated or revised on 2021-02-24.
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