Kailey Evasic, PA

NPI 1649987488 · on the registry since 2022

Practice

Address: 55840 Grand River Ave Ste 300
New Hudson, MI 48165
Phone: (248) 264-6169
Organisation at this address: New Hudson Dental Pllc
Grand River Medical Associates, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 363AM0700X
363AM0700X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan