Kermicle, Emily Elise

Kermicle, Emily Elise is an individual health care provider with primary practice located at 305 W Jackson St Suite 200, Carbondale IL 62901-1474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kermicle, Emily Elise can be contacted via phone (618) 536-6621.

Contact Information

Primary practice address
305 W Jackson St Suite 200 Carbondale IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004680 Illinois

Profile Details

NPI number 1881935245
LBN Legal business name Kermicle, Emily Elise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2013
Last updated Sep 29th, 2026 - about last week

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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