Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Lauren Nelczyk, PA-C

Individual provider Medical Physician Assistant · NPI 1548652720

Kimberly Lauren Nelczyk, PA-C is a Medical Physician Assistant in Urbana, Illinois. Licensed in Connecticut and Illinois. Registered with an NPI since 2015.

Licensed in
CT, IL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

611 W Park St
Urbana, IL 61801-2529
Phone: (217) 383-3313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085005725 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 23.003285 (CT)

Record details

NPI number1548652720
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 25, 2015
Last updated in NPPESMay 31, 2024
Certification dateMay 28, 2024

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