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Contact Information

KIM C WRIGLEY, PA
4500 MEMORIAL DR
EMERGENCY DEPT.
BELLEVILLE, IL62226-5360
 Phone: 618-257-5840
 Fax: 618-257-6740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KIM C WRIGLEY · (Female)

NPI Number 1013070440
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 12/18/2006
Last updated 12/08/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 085002475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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