Individual provider · Type 1 NPI

Kaitlin Michelle McDaniel, PA-C

Surgical Physician Assistant · Memphis, TN

NPI number 1609304286 Active

Practice location

1325 Eastmoreland Ave Ste 310
Memphis, TN 38104-7544

Fax (901) 266-6468

Mailing address

PO Box 1000 Dept 457
Memphis, TN 38148-0001

Other practice locations

  • 6025 Walnut Grove Rd Ste 627, Memphis, TN 38120-2126 · (901) 227-7330

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X3196 (TN)
Surgical Physician Assistant Primary 363AS0400X3196 (TN)

Surgical Physician Assistant: Definition to come...

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About NPI 1609304286

Kaitlin Michelle McDaniel, PA-C's National Provider Identifier is 1609304286, issued on May 26, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Memphis, TN. The record was last updated on Sep 7, 2021.