Individual
KAI E TRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13700 ST FRANCIS BLVD, EMERGENCY DEPT, MIDLOTHIAN, VA 23114-3222
(804) 594-7950
(804) 594-7955
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003372
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12195587
CAQH
—
Enumeration date
09/16/2010
Last updated
01/08/2014
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