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Kim Wyatt, MD
NPI 1487609640 · Family Medicine Physician · Jacksonville, IL
Kim Wyatt, MD is a Family Medicine Physician provider in Jacksonville, IL (NPI 1487609640).
Provider details
- NPI number
- 1487609640
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 036106337 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
15 Founders Ln
Jacksonville, IL 62650-3919
Phone: (217) 528-7541
Street-level locationGet directions
Mailing address
1025 S 6th St
Springfield, IL 62703-2403
Registry dates
- Enumerated
- 2006-05-24
- Last updated
- 2015-02-27
Frequently asked questions
- What is Kim Wyatt's NPI number?
- Kim Wyatt's National Provider Identifier (NPI) is 1487609640, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Wyatt's specialty?
- Kim Wyatt is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kim Wyatt located?
- Kim Wyatt's practice location on file with NPPES is 15 Founders Ln, Jacksonville, IL 62650-3919.
- What is Kim Wyatt's phone number?
- The practice phone number listed in the NPPES registry for Kim Wyatt is (217) 528-7541.
- Is Kim Wyatt's NPI active?
- Yes — Kim Wyatt's NPI (1487609640) is active in the NPPES registry as of the last update on 2015-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.