Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAMRYN ALICE MACK, PA-C
Active Sole ProprietorKAMRYN ALICE MACK, PA-C is a Physician Assistant healthcare provider located in SOUTHFIELD, Michigan. NPI 1619445228 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTHFIELD, MI
Registration Details
- NPI Number
- 1619445228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 13, 2018 (7.7428291361007 yrs)
- Last Updated
- Jan 6, 2022
- License
-
5601009636 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
22255 GREENFIELD RD STE 400SOUTHFIELD, MI, 480753734Browse MI providers · Browse ZIP 48075
- Phone
- 2488494880
- Fax
- 2488494881
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOUTHFIELD, MI
| Name | Credential | NPI |
|---|---|---|
| MICHELLE BAKER | PA | 1477557734 |
| ROGER JONATHAN ONG | PA | 1992704167 |
| KENNETH MARK WARDOWSKI | PA | 1831190305 |
| AMY G. CONNOLLY | PA-C | 1033106331 |
| MRS. KAREN JOY DANIEL | PHYSICIAN ASSISTANT | 1649242777 |
| LAINE WOODARD | PA-C | 1962455055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.