Individual provider · Type 1 NPI

Kaylie M. Decosmo

Physician Assistant · Washington, DC

NPI number 1639022882 Active

Practice location

111 Michigan Ave NW
Washington, DC 20010-2916

Mailing address

1788 N Pierce St Apt 806
Arlington, VA 22209-2527

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1639022882

Kaylie M. Decosmo's National Provider Identifier is 1639022882, issued on Feb 17, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Washington, DC. The record was last updated on Oct 8, 2026.