Individual
KAITLIN MICHELLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104-7544
(901) 272-6010
(901) 266-6468
Mailing address
PO BOX 1000 DEPT 457, MEMPHIS, TN 38148-0001
(901) 275-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3196
TN
363AS0400X
Surgical Physician Assistant
Primary
3196
TN
Other
Enumeration date
05/26/2017
Last updated
09/07/2021
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