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DR. KIM WYATT MD
NPI 1487609640
Family Medicine in Jacksonville, IL

Active since May 24, 2006
15 FOUNDERS LN, JACKSONVILLE, IL 62650(217) 528-7541 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kim Wyatt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIM WYATT MD (NPI 1487609640) is an individual family medicine provider in Jacksonville, Illinois, licensed in Illinois (036106337) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1487609640
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KIM WYATTCredential: MD
Location Address15 FOUNDERS LNJacksonville, IL 62650-3919
Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541
Phone(217) 528-7541
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateFebruary 27, 2015
✔ NPI 1487609640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036106337
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15 FOUNDERS LN, Jacksonville, IL 62650
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Other Identifiers 1

Medicaid036106337IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORAL JEANNE ARMOUR LCSW
Social Worker (Clinical)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 291-1041
KACI N HAVLIN
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
ABIGAIL S WHITE MD
Surgery
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
MOLLY TAYLOR FNP
Nurse Practitioner (Family)
15 FOUNDERS LN, SUITE 100
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
HASAN FARID HASAN OTHMAN MD
Pediatrics
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 243-0300
KAITLYN RENEE DAVIDSON NP-C
Nurse Practitioner (Family)
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
MOSAM B PATEL M.D.
Family Medicine
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541
BRADEN G. ANDERSON OD
Optometrist
15 FOUNDERS LN
JACKSONVILLE, IL 62650
Morgan County (217) 528-7541

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Wyatt's NPI number?

The NPI number for Kim Wyatt is 1487609640. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Kim Wyatt located?

Kim Wyatt practices at 15 Founders Ln, Jacksonville, IL 62650. The listed phone number is (217) 528-7541.

What is Kim Wyatt's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Kim Wyatt was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.