Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY V TEATS-GARRISON, PA-C
ActiveKIMBERLY V TEATS-GARRISON, PA-C is a Physician Assistant healthcare provider located in FULTON, Illinois. NPI 1164909164 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FULTON, IL
Registration Details
- NPI Number
- 1164909164
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2018 (8.053858145724 yrs)
- Last Updated
- Jul 7, 2021
Practice Information
- Address
-
1130 17TH ST STE BFULTON, IL, 612522008Browse IL providers · Browse ZIP 61252
- Phone
- 8155892005
- Fax
- 8156325975
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.