Individual provider · Type 1 NPI
Karla Kay Whited, MOA
Medical Physician Assistant · Duquoin, IL
NPI number
1063513133
Active
Practice location
119 Gas Plant Road, Rea Clinic Duquoin
Duquoin, IL 62832
Fax (618) 542-8792
Mailing address
PO Box 155, Rea Clinic
Christopher, IL 62822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
3 other providers at this address
About NPI 1063513133
Karla Kay Whited, MOA's National Provider Identifier is 1063513133, issued on Sep 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Duquoin, IL. The record was last updated on Jul 8, 2007.