Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLIE DEWITT, PHYSICIAN ASSISTANT
ActiveKELLIE DEWITT, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in EL PASO, Illinois. NPI 1871722868 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EL PASO, IL
Registration Details
- NPI Number
- 1871722868
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2009 (17.058911642281 yrs)
- Last Updated
- Sep 15, 2014
- License
-
085003478 (IL)
Practice Information
- Address
-
385 S ORANGE STREETEL PASO, IL, 71738Browse IL providers · Browse ZIP 71738
- Phone
- 3095274900
- Fax
- 3095273525
- 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.