Individual
KAITLIN GRAINGER VUCELIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5255 LOUGHBORO RD NW BLDG 4TH, WASHINGTON, DC 20016-2633
(202) 370-6565
(202) 537-4248
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005549
VA
363AS0400X
Surgical Physician Assistant
Primary
PA031310
DC
Other
Enumeration date
10/21/2016
Last updated
03/07/2023
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