Individual provider · Type 1 NPI
Timothy Carlisle, PA
Medical Physician Assistant · Kalamazoo, MI
NPI number
1487752440
Active
Practice location
900 Peeler St
Kalamazoo, MI 49008-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 5601004857 (MI) |
| Medical Physician Assistant Primary | 363AM0700X | 5601004857 (MI) |
Medical Physician Assistant: Definition to come...
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About NPI 1487752440
Timothy Carlisle, PA's National Provider Identifier is 1487752440, issued on Sep 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kalamazoo, MI. The record was last updated on Feb 17, 2025.