Individual
KAITLYN MICHELE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1204 CAMPBELL ST, VALPARAISO, IN 46385-3452
(815) 592-0830
Mailing address
1204 CAMPBELL ST, VALPARAISO, IN 46385-3452
(815) 592-0830
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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