Healthcare Provider Details

I. General information

NPI: 1639534142
Provider Name (Legal Business Name): KAITLIN M SCHAFER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2015
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 LANCASTER AVE
BERWYN PA
19312-1710
US

IV. Provider business mailing address

103 BIRCHWOOD DR
WEST CHESTER PA
19380-7324
US

V. Phone/Fax

Practice location:
  • Phone: 610-854-8144
  • Fax:
Mailing address:
  • Phone: 610-416-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA059223
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: