Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Emily Elise Kermicle, PA-C

Individual provider Physician Assistant · NPI 1881935245

MS. Emily Elise Kermicle, PA-C is a Physician Assistant in Carbondale, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2013
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

305 W Jackson St Ste 200
Carbondale, IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004680 (IL)

Record details

NPI number1881935245
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 11, 2013
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

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