Individual
KAITLIN LEHTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD STE 680, ATLANTA, GA 30342-1804
(404) 778-3712
Mailing address
971 LAKELAND DR STE 1460, JACKSON, MS 39216-4684
(601) 982-3202
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
11245
GA
363AS0400X
Surgical Physician Assistant
PA00471
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03951358
—
MS
Enumeration date
01/23/2020
Last updated
11/28/2022
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