| Kilmeny Clark, | |
|
300 W Oak St, Carbondale, IL 62901-1400 | |
| (618) 453-8850 | |
| Not Available |
| Full Name | Kilmeny Clark |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 300 W Oak St, Carbondale, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104443258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008097 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | 5318-23 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kilmeny Clark, 1800 E Lake Shore Dr, Decatur, IL 62521-3810 Ph: (217) 464-2973 | Kilmeny Clark, 300 W Oak St, Carbondale, IL 62901-1400 Ph: (618) 453-8850 |
Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479 | |
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 | |
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621 | |
Ms. Nicole A Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 | |
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835 | |
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469 |