Individual
KIMBERLY V TEATS-GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1130 17TH ST STE B, FULTON, IL 61252-2008
(815) 589-2005
(815) 632-5975
Mailing address
915 13TH AVE N, CLINTON, IA 52732-5099
(563) 243-2511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/23/2018
Last updated
07/07/2021
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