Kellie Dewitt, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1871722868

Kellie Dewitt, PHYSICIANASSISTANT is a Physician Assistant in El Paso, Illinois. Qualified in 2009, 17 years ago. Practices with Carle Eureka Hospital, an 11-clinician group. Licensed in Illinois.

Years since qualifying: 17
Licensed in: IL
In the registry since: 2009

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

385 S Orange St
El Paso, IL 71738
Phone: (309) 527-4900
Fax: (309) 527-3525

No coordinates on file. Search this address in Google Maps

Specialties & licences

Physician Assistant (primary)	Taxonomy 363A00000X · Licence 085003478 (IL)

Record details

NPI number	1871722868
Entity type	Individual (Type 1)
Gender	Female
Credentials	PHYSICIANASSISTANT
Sole proprietor	No
NPI enumerated	July 10, 2009
Last updated in NPPES	September 15, 2014
Mailing address	385 S Orange St, El Paso, IL 61738-1613

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	PHYSICIAN ASSISTANT
Medical school	OTHER
Graduated	2009 (17 years in practice)
Group practice	Carle Eureka Hospital — 11 clinicians
Accepts Medicare assignment	Not indicated