Individual
KIM C WRIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-6220
Mailing address
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226-5373
(618) 234-9884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002475
IL
363AS0400X
Surgical Physician Assistant
085002475
IL
Other
Enumeration date
12/18/2006
Last updated
09/25/2025
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