SearchIllinoisPhysician Assistant

Koby Kimball, PA-C

NPI 1184338550 · on the registry since 2023 · sole proprietor

Practice

Address
619 E Mason St
Springfield, IL 62701
Phone
(217) 788-0706
Fax
(217) 525-2535
Organisation at this address
Scan American Springfield Llc
Prairie Cardiovascular Consultants Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Sex
Male
Record last updated
2025-09-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois