Individual
KAITLIN WILCOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
6 HENRY ST, BEACON, NY 12508-3058
(845) 831-0400
(845) 765-9400
Mailing address
PO BOX 5036, WHITE PLAINS, NY 10602-5036
(845) 745-3611
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
025390
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06320869
—
NY
Enumeration date
06/09/2020
Last updated
11/04/2025
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