KIM WYATT

JACKSONVILLE, IL
NPI1487609640
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036106337)
Enumeration Date2006-05-24
Last Update Date2015-02-27
Business Address
Dr. KIM WYATT MD
15 FOUNDERS LN
JACKSONVILLE, IL 62650-3919
Phone number: 217-528-7541
Mailing Address
Dr. KIM WYATT MD
1025 S 6TH ST
SPRINGFIELD, IL 62703-2403
Phone number: 217-528-7541
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