Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KIM WYATT, MD
ActiveDR. KIM WYATT, MD is a Family Medicine healthcare provider located in JACKSONVILLE, Illinois. NPI 1487609640 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSONVILLE, IL
Registration Details
- NPI Number
- 1487609640
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 24, 2006 (20.224967580981 yrs)
- Last Updated
- Feb 27, 2015
- License
-
036106337 (IL)
Practice Information
- Address
-
15 FOUNDERS LNJACKSONVILLE, IL, 626503919Browse IL providers · Browse ZIP 62650
- Phone
- 2175287541
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in JACKSONVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JAMES ANTHONY BOHAN | M.D. | 1295733830 |
| DR. JAMES EDWARD HINCHEN | M.D. | 1902892037 |
| DR. MARSHALL T HALE | M.D. | 1245226372 |
| DR. MICHELLE COLEN | M.D. | 1336138122 |
| AGNES A WOOD | M.D. | 1245229681 |
| DR. ALLEN G GERBERDING | M.D. | 1558333633 |
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.