Individual provider · Type 1 NPI
Kailey Evasic, PA
Medical Physician Assistant · New Hudson, MI
NPI number
1649987488
Active
Practice location
55840 Grand River Ave Ste 300
New Hudson, MI 48165-9717
Mailing address
859 Westbrooke Dr
South Lyon, MI 48178-1667
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5601011330 (MI) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
Other medical physician assistant providers in New Hudson
About NPI 1649987488
Kailey Evasic, PA's National Provider Identifier is 1649987488, issued on Nov 1, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hudson, MI. The record was last updated on Nov 1, 2022.