KORI CARROLL, PA
Physician Assistant
Active
Individual
NPI: 1598752628
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085001261 (IL) |
Frequently Asked Questions
NPI 1598752628 is the National Provider Identifier for KORI CARROLL, PA, a Physician Assistant provider located in Champaign, IL. This NPI was enumerated on October 4, 2005.
KORI CARROLL, PA practices at 3105 FIELDS SOUTH DR, Champaign, IL 61822.
Quick Facts
- NPI
- 1598752628
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Apr 23, 2019
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