Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kaitlin Raeleen Lange, PA-C

Individual provider Family Medicine Physician · NPI 1821712068

Kaitlin Raeleen Lange, PA-C is a Physician Assistant in Eaton, Ohio. Qualified in 2022, 4 years ago. Practices with Alliance Physicians Inc, a 314-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

405 B Washington Jackson Rd Ste 108
Eaton, OH 45320
Phone: (937) 456-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.007778RX (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 50.007778RX (OH)

Record details

NPI number1821712068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2022
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alliance Physicians Inc — 314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Eaton