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

KEVIN DOUGLAS LILLE, PAC

Active

KEVIN DOUGLAS LILLE, PAC is a Physician Assistant healthcare provider located in PORT CHARLOTTE, Florida. NPI 1679588750 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT CHARLOTTE, FL

Registration Details

NPI Number
1679588750
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2006 (20.036096628619 yrs)
Last Updated
Jul 8, 2007
License
PA9101308 (FL)

Practice Information

Address
21298 OLEAN BLVD
FAWCETT MEMORIAL HOSPITAL
PORT CHARLOTTE, FL, 33952
Browse FL providers · Browse ZIP 33952
Phone
9416276130
Fax
9416276146
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT CHARLOTTE, FL

Name Credential NPI
STEVEN L KARO PAC 1407854789
BRADLEY W ORVILLE PA-C 1922088616
TIMOTHY FRANCIS PA 1902859739
KENNETH MILLER PAC 1891740015
MARK BROWNING PA 1457390270
MRS. LINDA KAFOREY P.A.-C. 1588763924
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.