NPI 1023461134

Miranda Leah Katty, MSPAC

Practitioner Medical Physician Assistant Royal Oak, MI

Practice location

Address: 3577 W 13 Mile Rd STE 202a, Royal Oak, MI 48073-6710
Phone: (248) 551-0669
Fax: (248) 551-0058
Mailing address: 26901 Beaumont Blvd STE 3d, Southfield, MI 48033-3849

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5601007838 (MI)

Other Physician Assistant providers in Michigan →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601007838 (MI)

Registry record

NPI: 1023461134
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jul 2016
Record last updated: 4 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.