Individual
KAYLIN MARIE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(313) 651-1961
(313) 447-1102
Mailing address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(313) 651-1961
(313) 447-1102
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008032
MI
363AS0400X
Surgical Physician Assistant
5601008032
MI
Other
Enumeration date
04/08/2015
Last updated
07/21/2023
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