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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KORI L CARROLL, PA

Active

KORI L CARROLL, PA is a Physician Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1598752628 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHAMPAIGN, IL

Registration Details

NPI Number
1598752628
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2005 (20.827707800417 yrs)
Last Updated
Apr 23, 2019
License
085001261 (IL)

Practice Information

Address
3105 FIELDS SOUTH DR
CHAMPAIGN, IL, 618223743
Browse IL providers · Browse ZIP 61822
Phone
2179027527
Fax
2179027755
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHAMPAIGN, IL

Name Credential NPI
MR. BRIAN NEAL SHORE PA C 1376544585
MR. GREGORY LEE MARTINDILL PA 1609860782
MS. HEATHER KONZELMANN PA 1720066251
SHELLY JO REITEN PAC 1114994928
ALLEN THOMAS P.A.-C 1033136635
MR. JAMES B. CORNETT P.A.-C. 1538176862
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.