Individual
KAITLYN NICOLE GASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2550 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094
(440) 943-2500
Mailing address
2550 SOM CENTER RD, WILLOUGHBY HILLS, OH 44094-9655
(440) 943-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.005901RX
OH
Other
Enumeration date
04/09/2019
Last updated
10/18/2019
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