Individual
KRISTA LYNNE MCCARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
47601 GRAND RIVER AVE, NOVI, MI 48374-1233
(248) 367-8366
(248) 465-4651
Mailing address
23081 WARNER ST, FARMINGTON, MI 48336-3976
(734) 625-8222
(810) 765-8169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1065413
NCCPA CERTIFICATE NUMBER
MI
Enumeration date
05/20/2006
Last updated
09/26/2008
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