Individual
ALLISON FUMIYE KIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 N WINFIELD RD STE 201, WINFIELD, IL 60190-1379
(630) 933-4480
(630) 933-6009
Mailing address
25 N WINFIELD RD STE 201, WINFIELD, IL 60190-1379
(630) 933-4480
(630) 933-6009
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008540
IL
363A00000X
Physician Assistant
5601011475
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2020
Last updated
04/09/2024
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