Individual
KEVIN C CAITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5315 ELLIOTT DR, SUITE 301, YPSILANTI, MI 48197
(734) 572-4500
(734) 572-4503
Mailing address
24 FRANK LLOYD WRIGHT DR, LOBBY J2000, ANN ARBOR, MI 48105
(734) 572-4500
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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