Individual
BRITTON KYLE HERRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300 W OAK ST, CARBONDALE, IL 62901-1400
(217) 545-8000
Mailing address
201 E MADISON ST STE 328, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085008548
IL
363AM0700X
Medical Physician Assistant
Primary
085008548
IL
Other
Enumeration date
06/02/2020
Last updated
04/20/2022
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