Healthcare Provider Details

I. General information

NPI: 1144852989
Provider Name (Legal Business Name): KAILYN JEAN STRICKLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 12/19/2024
Certification Date: 12/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N CLIPPERT ST
LANSING MI
48912-4701
US

IV. Provider business mailing address

505 N CLIPPERT ST
LANSING MI
48912-4701
US

V. Phone/Fax

Practice location:
  • Phone: 517-999-2273
  • Fax:
Mailing address:
  • Phone: 517-999-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601010158
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number5601010158
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: