Kelly A Omsberg PA-C

NPI 1144352899 - Physician Assistant - 363A00000X

NPI Details
NPI 1144352899
Gender Female
Enumeration Date 03/09/2007
Last Updated 06/23/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
27650 FERRY RD
SUITE 100
WARRENVILLE IL, 60555-3845, US
Phone (630) 225-2663
Fax (630) 225-2399
Business Location
27650 FERRY RD
SUITE 100
WARRENVILLE IL, 60555-3845, US
Phone (630) 225-2663
Fax (630) 225-2399
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-002905
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According to our database, Ms. Kelly A Omsberg PA-C NPI is 1144352899, taxonomy code is 363A00000X and license number is 085-002905, license state is located at Illinois. Kelly A Omsberg PA-C physically located at 27650 Ferry Rd, Warrenville IL, 60555-3845. NPI Number Kelly A Omsberg PA-C has the Individual type.

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1144352899 NPI number is provided on an as is basis without warranty of any kind. 1144352899 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly A Omsberg PA-C are for informational purposes only.