Most Relevant Information
Provider Data
| NPI Number: | 1003379793 |
| Provider Name: | KAITLYN NICOLE GASSER PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 50.005901RX |
Most Important Dates
| Enumeration Date: | 04/09/2019 |
| Last Updated: | 10/18/2019 |
Provider Practice Location
2550 SOM CENTER RD
WILLOUGHBY HILLS
OH
44094
Practice Location Phone/Fax
| Phone: | 4409432500 |
| Fax: |
Provider Mailing Location
2550 SOM CENTER RD
WILLOUGHBY HILLS
OH
440949655
Provider Mailing Phone/Fax
| Phone: | 4409432500 |
| Fax: |