| Doctor Name: | KRISTIN L FIELDS |
| NPI Number: | 1184714198 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 085-001387 |
| Business Practice Address: | 400 S Kennedy Dr Bradley, IL - 609152682 |
| Business Phone Number: | 8159280860 |
| Business Fax Number: | 8005052218 |
| Mailing Address: | 400 S Kennedy Dr, BRADLEY |
| State: | IL |
| Postal Code: | 609152682 |
| Phone Number: | 8159280860 |
| Fax Number: | 8005052218 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 06/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 085-001387 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |