Most Relevant Information
Provider Data
| NPI Number: | 1003439217 |
| Provider Name: | ALLISON FUMIYE KIGHTLY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601011475 |
Most Important Dates
| Enumeration Date: | 05/21/2020 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
25 N WINFIELD RD STE 201
WINFIELD
IL
601901379
Practice Location Phone/Fax
| Phone: | 6309334480 |
| Fax: | 6309336009 |
Provider Mailing Location
25 N WINFIELD RD STE 201
WINFIELD
IL
601901379
Provider Mailing Phone/Fax
| Phone: | 6309334480 |
| Fax: | 6309336009 |