location
search-icon
person
Mrs. Kimberly Sue Wiegand, CFM
Medical Physician Assistant in Maryville, Illinois
NPI 1720230873

Kimberly Sue Wiegand is a Medical Physician Assistant based in Maryville, IL and is specialized in Medical. Kimberly Sue Wiegand practices in Maryville, IL and has the professional credentials of CFM. The NPI Number for Kimberly Sue Wiegand is 1720230873 and holds a License No. 049-177617 (Illinois).

The current practice location address for Kimberly Sue Wiegand is 2700 N Center St, Maryville, IL and can be reached out via phone at 618-288-7474 and via fax at 618-288-7037.

Location: 2700 N Center St, Maryville, IL, 62062-5624
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720230873
Provider Name
Kimberly Sue Wiegand
Credential
CFM
Provider Entity Type
Individual
Gender
Female
Address
2700 N Center St, Maryville, IL, 62062-5624
Phone Number
618-288-7474
Fax Number
618-288-7037
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2700 N Center St
City
Maryville
State
Illinois
Zip
62062-5624
Phone Number
618-288-7474
Fax Number
618-288-7037
person
Provider Business Mailing Address Details
Address
2700 N Center St
City
Maryville
State
Illinois
Zip
62062-5624
Phone Number
618-288-7474
Fax Number
618-288-7037
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacy Technician
Speciality
-
Taxonomy
183700000X
License No.
95212 (Illinois)
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
CFM01697 (Illinois)
Definition
An individual trained in the management of fitting prefabricated orthoses.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
049-177617 (Illinois)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.