Most Relevant Information
Provider Data
NPI Number: | 1003368978 |
Provider Name: | KAITLIN WORKMAN PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 50.004911RX |
Most Important Dates
Enumeration Date: | 10/26/2016 |
Last Updated: | 09/13/2024 |
Provider Practice Location
5001 TRANSPORTATION DR
SHEFFIELD VILLAGE
OH
440542849
Practice Location Phone/Fax
Phone: | 4403292800 |
Fax: |
Provider Mailing Location
PO BOX 772928
DETROIT
MI
482772928
Provider Mailing Phone/Fax
Phone: | 8005896006 |
Fax: |