Individual provider · Type 1 NPI

Mackenzy Lee Kassab, PA-C

Physician Assistant · Farmington Hills, MI

NPI number 1619605722 Active

Practice location

31393 W 13 Mile Rd Ste 105
Farmington Hills, MI 48334-2232

Mailing address

4421 Forest Hill Dr
Commerce Township, MI 48382-1591

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601011399 (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 1619605722

Mackenzy Lee Kassab, PA-C's National Provider Identifier is 1619605722, issued on Aug 8, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Farmington Hills, MI. The record was last updated on Mar 26, 2025.