Kayla R Licari P.A.-C

NPI 1770811903 - Physician Assistant - 363AM0700X

NPI Details
NPI 1770811903
Gender Female
Enumeration Date 11/30/2009
Last Updated 11/30/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3700 52ND ST SE
GRAND RAPIDS MI, 49512-9637, US
Phone (616) 656-3700
Fax (616) 656-3701
Business Location
3700 52ND ST SE
GRAND RAPIDS MI, 49512-9637, US
Phone (616) 656-3700
Fax (616) 656-3701
Toxanomy
Taxonomy Code 363AM0700X
License State Michigan
License Number 5601005659
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According to our database, Kayla R Licari P.A.-C NPI is 1770811903, taxonomy code is 363AM0700X and license number is 5601005659, license state is located at Michigan. Kayla R Licari P.A.-C physically located at 3700 52nd St Se, Grand Rapids MI, 49512-9637. NPI Number Kayla R Licari P.A.-C has the Individual type.

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1770811903 NPI number is provided on an as is basis without warranty of any kind. 1770811903 is maintained by the National Plan & Provider Enumeration System. The contents of Kayla R Licari P.A.-C are for informational purposes only.