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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KRISTEN NICOLE GILLEY, PA-C

Active

Physician Assistant · LAKE ODESSA, MI

Registration Details

NPI Number
1760124176
Provider Type
Individual
Gender
Female
NPI Issued
Apr 7, 2022 (4.0804415513932 yrs)
Last Updated
Oct 10, 2022
License
5601010969 (MI)

Practice Information

Address
4294 LAUREL DR
LAKE ODESSA, MI, 488498430
Browse MI providers · Browse ZIP 48849
Phone
6163747660
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAKE ODESSA, MI

Name Credential NPI
MAREN MARIE MCCARTHY PA-C 1326641879
MR. JONATHAN ALVARO 1184370827
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.