Individual provider · Type 1 NPI

Kevin Douglas Lille, PAC

Physician Assistant · Port Charlotte, FL

NPI number 1679588750 Active

Practice location

21298 Olean Blvd, Fawcett Memorial Hospital
Port Charlotte, FL 33952

Call (941) 627-6130 Map

Fax (941) 627-6146

Mailing address

3141 NW 63rd, Suite 4
Oklahoma City, OK 73116

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA9101308 (FL)

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 1679588750

Kevin Douglas Lille, PAC's National Provider Identifier is 1679588750, issued on Jul 29, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jul 8, 2007.