Individual provider · Type 1 NPI

Kaitlin Nicole Siddons I

Physician Assistant · Willow Grove, PA

NPI number 1790658961 Active

Practice location

2360 Maryland Rd
Willow Grove, PA 19090-1709

Call (215) 657-6776 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XMA067270 (PA)

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 1790658961

Kaitlin Nicole Siddons I's National Provider Identifier is 1790658961, issued on Sep 24, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Willow Grove, PA. The record was last updated on Dec 9, 2025.