KAITLYN HALEY BACKING

LAKE ORION, MI
NPI1770018269
Former NameKAITLYN KIMMEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MI  5601008071)
Enumeration Date2017-04-22
Last Update Date2023-10-31
Business Address
KAITLYN HALEY BACKING PA
845 S LAPEER RD
LAKE ORION, MI 48362-2925
Phone number: 248-469-0011
Mailing Address
KAITLYN HALEY BACKING PA
1170 FOX CT
OXFORD, MI 48371-5968
Phone number: 248-881-3483