Kori L Carroll, PA

NPI #1598752628 in Champaign, Illinois

Provider Information

NPI Number
1598752628
Entity Type
Individual
Name
Kori L Carroll, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 4, 2005
Last Updated
Apr 23, 2019

Practice Location

Address
3105 FIELDS SOUTH DR
ZIP Code
61822-3743
Phone
(217) 902-7527

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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