Kellie Dewitt, PHYSICIAN ASSISTANT
Physician Assistant · El Paso, IL
Practice location
385 S Orange StreetEl Paso, IL 71738
- Phone
- (309) 527-4900
- Fax
- (309) 527-3525
NPI record
- NPI
- 1871722868
- Entity type
- Individual (Type 1)
- Enumeration date
- July 10, 2009
- Last updated
- September 15, 2014
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
085003478 | IL |
Mailing address
385 S Orange StEl Paso, IL 61738-1613
- Phone
- (309) 527-4900
- Fax
- (309) 527-3525
About Kellie Dewitt
Kellie Dewitt, PHYSICIAN ASSISTANT is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 385 S Orange Street, El Paso, IL 71738. The NPI number 1871722868 was assigned on July 10, 2009 and the record was last updated on September 15, 2014.
Kellie Dewitt lists a license in the registry: #085003478 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Kellie Dewitt, PHYSICIAN ASSISTANT?
The NPI number is 1871722868.
What is the phone number of Kellie Dewitt?
The phone number listed for the practice location is (309) 527-4900.
Where is Kellie Dewitt located?
385 S Orange Street, El Paso, IL 71738.
What is the taxonomy code for Kellie Dewitt?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.