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

MS. Kimberly A Mancilla, SA-C

Individual provider Surgical Assistant · NPI 1588966840

MS. Kimberly A Mancilla, SA-C is a Surgical Assistant in Normal, Illinois. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

1604 Visa Dr Ste 1
Normal, IL 61761-2195
Phone: (309) 846-4716
Fax: (309) 454-1107
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X

Record details

NPI number1588966840
Entity typeIndividual (Type 1)
GenderFemale
Credentials SA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2010
Last updated in NPPESJuly 29, 2020
Certification dateJuly 29, 2020

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