Individual provider · Type 1 NPI

Emily Elise Kermicle, PA-C

Physician Assistant · Carbondale, IL

NPI number 1881935245 Active

Practice location

305 W Jackson St, Suite 200
Carbondale, IL 62901-1474

Call (618) 536-6621 Map

Fax (618) 453-1102

Other practice locations

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 · (618) 932-3937

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085004680 (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…

39 other providers at this address

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About NPI 1881935245

Emily Elise Kermicle, PA-C's National Provider Identifier is 1881935245, issued on Mar 11, 2013. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Carbondale, IL. The record was last updated on Sep 29, 2026.