Individual
KERISA LINN RASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
601 JOHN ST # 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Mailing address
601 JOHN ST # 74, KALAMAZOO, MI 49007-5341
(269) 341-8481
(269) 341-7781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013519
MI
Other
Enumeration date
09/23/2025
Last updated
10/20/2025
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