Individual provider · Type 1 NPI

Kerry Nathan, PA

Physician Assistant · Warren, MI

NPI number 1003882242 Active

Practice location

31150 Hoover, Suite B
Warren, MI 48093

Call (586) 983-3666 Map

Fax (586) 983-3776

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601002908 (MI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003882242

Kerry Nathan, PA's National Provider Identifier is 1003882242, issued on Feb 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Warren, MI. The record was last updated on Jul 13, 2026.