Individual provider · Type 1 NPI

Kimberly A. Mancilla, SA-C

Surgical Assistant · Normal, IL

NPI number 1588966840 Active

Practice location

1604 Visa Dr, Suite 1
Normal, IL 61761-2195

Fax (309) 454-1107

Mailing address

1604 Visa Dr Ste 1
Normal, IL 61761-2195

Specialties and licenses

TaxonomyCodeLicense
Surgical Assistant Primary 246ZC0007XNone listed

Surgical Assistant: A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in h…

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About NPI 1588966840

Kimberly A. Mancilla, SA-C's National Provider Identifier is 1588966840, issued on Nov 18, 2010. The primary taxonomy on file is Surgical Assistant (246ZC0007X), and the practice location is in Normal, IL. The record was last updated on Jul 29, 2020.