# KAITLIN JASMON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760805949
- **Gender:** F
- **Credential:** PHYSICIAN ASSISTANT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001629A | IL | Yes |

## Other

- **Enumeration date:** 01/24/2014
- **Last updated:** 12/03/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | P01291704 | RAILROAD MEDICARE | IN |