NPI 1225845506

Kaela Nicole Crall

Practitioner Physician Assistant Northville, MI

Practice location

Address: 46706 Crystal Downs W, Northville, MI 48168-8456
Phone: (316) 218-2401

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 5601012686 (MI)

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Registry record

NPI: 1225845506
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2024
Record last updated: 11 Dec 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.