Individual provider · Type 1 NPI

Kristen Nicole Gilley, PA-C

Physician Assistant · Lake Odessa, MI

NPI number 1760124176 Active

Practice location

4294 Laurel Dr
Lake Odessa, MI 48849-8430

Mailing address

100 Michigan St NE # MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5601010969 (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 1760124176

Kristen Nicole Gilley, PA-C's National Provider Identifier is 1760124176, issued on Apr 7, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Lake Odessa, MI. The record was last updated on Oct 10, 2022.