Individual provider · Type 1 NPI

Kelly A. Omsberg, PA-C

Surgical Physician Assistant · Warrenville, IL

NPI number 1144352899 Active

Practice location

27650 Ferry Rd, Suite 100
Warrenville, IL 60555-3845

Call (630) 225-2663 Map

Fax (630) 225-2399

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085002905 (IL)
Physician Assistant 363A00000X085-002905 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1144352899

Kelly A. Omsberg, PA-C's National Provider Identifier is 1144352899, issued on Mar 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Warrenville, IL. The record was last updated on Jun 23, 2014.