IndividualActive
Kezia Briones, PA-C
NPI 1356125553 · Physician Assistant · Carbondale, IL
Provider details
- NPI number
- 1356125553
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085009982 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
7 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
405 W Jackson St
Carbondale, IL 62901-1462
Phone: (618) 549-0721
Street-level locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Additional practice locations (6)
- 2601 W Main StCarbondale, IL 62901-1031Phone: (618) 549-5361Fax: (618) 351-4878
- 117 E Clark StHarrisburg, IL 62946-2702Phone: (618) 252-8625Fax: (618) 351-4859
- 901 S Commercial StHarrisburg, IL 62946-2640Phone: (618) 993-3817Fax: (618) 993-3908
- 405 Rushing DrHerrin, IL 62948-3730Phone: (618) 993-3300Fax: (618) 993-0262
- 2808 Outer DrMarion, IL 62959-5207Phone: (618) 993-3817Fax: (618) 993-3908
- 502 W Saint Louis St Ste 4West Frankfort, IL 62896-1968Phone: (618) 937-3400Fax: (618) 997-9324
Registry dates
- Enumerated
- 2023-08-21
- Last updated
- 2025-01-24
- Certified
- 2025-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.