| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KAITLYN MAY GROSSMAN | 1407548886 | 2023-08-13 |
Kaitlyn May Grossman is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1407548886. Registration indicates Kaitlyn May Grossman is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, )
| Entity Type | Individual |
| Provider Name | Kaitlyn May Grossman PA-C |
| Practice Office Address | 1 GUSTAVE L LEVY PL FL 12 NEW YORK, NY US |
| Practice Office Telephone | 2122416500 |
| Mailing Address | 2320 SHEFFIELD RD CHARLOTTESVILLE, VA 229017730 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 2320 Sheffield Rd | Charlottesville, VA 229017730 | 4342427413 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 363AM0700X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant |