KAILEY EVASIC PA NPI 1649987488

NPI Information

NPI: 1649987488
Provider Name: KAILEY EVASIC, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
55840 GRAND RIVER AVE STE 300
NEW HUDSON, MI
ZIP 48165
Phone: (248) 264-6169
Get Directions

Kailey Evasic, PA is a medical physician assistant in New Hudson, MI. Kailey Evasic, PA NPI is 1649987488. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55840 GRAND RIVER AVE STE 300
NEW HUDSON, MI
ZIP 48165-717
Phone: (248) 264-6169

The NPI 1649987488 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2022 and was last updated on 11/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	5601011330	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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