Kim Fonner is a Mattoon, Illinois based therapist who is specialized in Occupational Therapy. Active license number of Kim Fonner is 056008777 for Pediatrics Occupational Therapy in Illinois. Her current practice location is 3395 W Lake Paradise Rd, Mattoon. Patients can reach her at 217-234-2327. Kim Fonner NPI number (Unique professional ID assigned by NPPES) is 1174748354.
Kim Fonner address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Complete Profile:
Kim Fonner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kim Fonner |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Practice Address: | 3395 W Lake Paradise Rd, Mattoon,
Illinois, 61938-8969 |
| Phone: | 217-234-2327 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1174748354 |
| NPI Enumeration Date: | 14 Apr, 2007 |
| NPI Last Update On: | 28 Aug, 2017 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kim Fonner are as mentioned below.
| License Number | Specialization | State | Status | |
| 056008777 | Pediatrics Occupational Therapy | Illinois | Primary | |
| 160-002514 | Physical Therapy Assistant | Illinois | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kim Fonner
3395 W Lake Paradise Rd,
Mattoon, Illinois |
| Zip: | 61938-8969 |
Patients can reach Kim Fonner at
3395 W Lake Paradise Rd, Mattoon, Illinois or can
call to book an appointment on 217-234-2327.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.