Kaylin Marie Bass
Physician Assistant in Novi, MI. Individual provider (NPI-1).
NPI number1669868535
StatusActive
Last updated in NPPESJul 21, 2023
Details
- NPI
- 1669868535
- Entity type
- Individual (NPI-1)
- Name
- Kaylin Marie Bass
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 8, 2015
- Certification date
- Jul 21, 2023
- Last updated
- Jul 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 5601008032 | MI | Yes |
| 363AS0400X | Physician Assistant, Surgical | 5601008032 | MI |
Practice location
39450 W 12 Mile RdNovi, MI 48377-3600
Phone 313-651-1961 · Fax 313-447-1102
Mailing address
39450 W 12 Mile RdNovi, MI 48377-3600
Phone 313-651-1961 · Fax 313-447-1102
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All 76 Physician Assistant providers in Novi · All 8,418 providers in Novi
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