Kim Keith Wiese , PA-C
Physician Assistant • Peoria, IL
Professional Overview & Biography Verified Profile Summary
Kim Wiese, PA-C is a registered healthcare professional specializing in Physician Assistant in Peoria, IL. Practice services are available at 1524 W GLEN AVE under active NPI credentials.
Practice Location & Contact Primary Location
1524 W Glen Ave
Peoria, IL 616144692
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Peoria, IL
Practicing in Peoria, IL (4958 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2020-05-19NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1524 W GLEN AVE, PEORIA, IL 616144692 (Tel: 3095120902)
Registered at 1524 W GLEN AVE, PEORIA, IL 616144692 (Tel: 3095120902)
Physician Assistant (License #085.006503 in IL)
Registered at PO BOX 1330, NORMAN, OK 730701330 (Tel: 4053076668)
NPI status registered as active in NPPES database
Registered at 724 24TH AVE NW, #200, NORMAN, OK 730696214 (Tel: 4053606868)
Registered at 724 24TH AVE NW, #200, NORMAN, OK 730696214 (Tel: 4053606868)
Recorded as KIM WIESE, PA-C
Physician Assistant (License #PA 300 in OK)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1524 W Glen Ave
Peoria, IL 616144692
Phone: 3095120902
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