Kimberly V Teats-Garrison, PA-C

NPI #1164909164 in Fulton, Illinois

Provider Information

NPI Number: 1164909164
Entity Type: Individual
Name: Kimberly V Teats-Garrison, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 23, 2018
Last Updated: Jul 7, 2021

Practice Location

Address: 1130 17TH ST STE B
City: Fulton
State: Illinois
ZIP Code: 61252-2008
Phone: (815) 589-2005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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