Individual
KATELYN VASICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1634 GULL RD, KALAMAZOO, MI 49048-1632
(269) 903-2835
Mailing address
3724 LANCASTER DR, KALAMAZOO, MI 49006-5424
(269) 509-2727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007657
MI
Other
Enumeration date
01/21/2016
Last updated
04/17/2024
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