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Mr. Kim Keith Wiese, PA-C
Physician Assistant in Peoria, Illinois
NPI 1801866744

Kim Keith Wiese is a Physician Assistant based in Peoria, IL. Kim Keith Wiese practices in Peoria, IL and has the professional credentials of PA-C. The NPI Number for Kim Keith Wiese is 1801866744 and holds a License No. 085.006503 (Illinois).

The current practice location address for Kim Keith Wiese is 1524 W Glen Ave, Peoria, IL and can be reached out via phone at 309-512-0902 and via fax at 094-030-3973. You can also correspond with Kim Keith Wiese through the mailing address at 1524 W GLEN AVE, PEORIA, IL - 61614-4692 (mailing address contact number: 309-512-0902).

Location: 1524 W Glen Ave, Peoria, IL, 61614-4692
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801866744
Provider Name
Kim Keith Wiese
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1524 W Glen Ave, Peoria, IL, 61614-4692
Phone Number
309-512-0902
Fax Number
094-030-3973
Provider Enumeration Date
01/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1524 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4692
Phone Number
309-512-0902
Fax Number
094-030-3973
person
Provider Business Mailing Address Details
Address
1524 W Glen Ave
City
Peoria
State
Illinois
Zip
61614-4692
Phone Number
309-512-0902
Fax Number
094-030-3973
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085.006503 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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