Individual provider · Type 1 NPI

Kaitlyn Mackenzie Shaw

Physician Assistant · Bloomfield Hills, MI

NPI number 1952141863 Active

Practice location

2550 S Telegraph Rd Ste 104
Bloomfield Hills, MI 48302-0951

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 1952141863

Kaitlyn Mackenzie Shaw's National Provider Identifier is 1952141863, issued on May 29, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bloomfield Hills, MI. The record was last updated on Mar 5, 2026.