Individual provider · Type 1 NPI

Kaitlyn Koutris

Medical Physician Assistant · Bel Air, MD

NPI number 1619444692 Active

Practice location

5 Bel Air South Pkwy Ste 1535
Bel Air, MD 21015-3816

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XOA004651 (PA)
Medical Physician Assistant Primary 363AM0700XMA0600234 (PA)

Medical Physician Assistant: Definition to come...

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About NPI 1619444692

Kaitlyn Koutris's National Provider Identifier is 1619444692, issued on Oct 29, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Bel Air, MD. The record was last updated on Oct 29, 2018.