KIMBERLEE COPPELLI

FAIRVIEW HEIGHTS MEDICAL GROUP SC

Dr KIMBERLEE COPPELLI is a female medical professional, specializing in Physician Assistant. She graduated in 2016.

Contact

FAIRVIEW HEIGHTS MEDICAL GROUP SC

1 MEMORIAL DR
ALTON
IL
620026722

Tel: 6184637240

KIMBERLEE COPPELLI Information

Npi 1538613336
Pac Id 9133417942
Professional Enrollment Id I20181201000181
Last Name COPPELLI
First Name KIMBERLEE
Middle Name
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2016
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRVIEW HEIGHTS MEDICAL GROUP SC
Group Practice Pac Id 6800784083
Number Of Group Practice Members 206
Line 1 Street Address 1 MEMORIAL DR
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALTON
State IL
Zip Code 620026722
Phone Number 6184637240
Hospital Affiliation Ccn 1 140002
Hospital Affiliation Lbn 1 ALTON MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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