Kaitlin Renae Carlisle
Kaitlin Renae Carlisle is a Physician Assistant in Fairfax Station, Virginia. Licensed in South Carolina. Registered with an NPI since 2021.
- Licensed in
- SC
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
8416 Westpointe DrFairfax Station, VA 22039-2670
Phone: (703) 717-8669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 4269 (SC) |
Record details
| NPI number | 1588336697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 28, 2021 |
| Last updated in NPPES | December 11, 2024 |
| Certification date | December 11, 2024 |
Other providers in Fairfax Station
-
Mahtab Mollajafar
8212 Roseland Dr, Fairfax Station, VA 22039-2534 · (703) 507-9266