IndividualActive
Kimberly Teats-Garrison, PA-C
NPI 1164909164 · Physician Assistant · Fulton, IL
Provider details
- NPI number
- 1164909164
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1130 17th St Ste B
Fulton, IL 61252-2008
Phone: (815) 589-2005
Fax: (815) 632-5975
Approximate (ZIP-level) locationGet directions
Mailing address
915 13th Ave N
Clinton, IA 52732-5099
Additional practice locations (1)
- 1705 16th AveFulton, IL 61252-9708Phone: (815) 589-2121
Registry dates
- Enumerated
- 2018-07-23
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.