Individual provider · Type 1 NPI

Karen Dyer Blackwell, P.A.

Physician Assistant · O Fallon, IL

NPI number 1487983664 Active

Practice location

310 N 7 Hills Rd
O Fallon, IL 62269-4111

Call (618) 624-6181 Map

Fax (618) 624-7172

Mailing address

4500 Memorial Drive, Memorial Hospital Medical Affairs
Belleville, IL 62226

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085005182 (IL)

Physician Assistant: 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, orde…

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About NPI 1487983664

Karen Dyer Blackwell, P.A.'s National Provider Identifier is 1487983664, issued on Dec 16, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in O Fallon, IL. The record was last updated on Feb 22, 2016.