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Individual
KEVIN C CAITH
Active
Individual
KEVIN C CAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008033
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093370
NCCPA CERTIFICATION
MI
01
—
5315090475
MICHIGAN CONTROLLED SUBSTANCE LICENSE
MI
01
—
5601008033
MICHIGAN PA LICENSE
MI
Enumeration date
09/21/2010
Last updated
03/07/2023
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