Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlin V Deters, DO

Individual provider Surgery Physician · NPI 1568887495

Kaitlin V Deters, DO is a General Surgery in Wyandotte, Michigan. Qualified in 2014, 12 years ago. Practices with Bon Secours Medical Group Richmond Specialty Care LLC, a 354-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Virginia.

Years since qualifying
12
Licensed in
MI, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone: (423) 506-6234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 702 N Main St, Emporia, VA 23847-1242 — (434) 336-1222
  • 44 Medical Park Blvd Ste D, Petersburg, VA 23805-9351 — (804) 520-6730

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5151010296 (MI)
Surgery Physician Taxonomy 208600000X · Licence 5101021015 (MI)
Surgery Physician Taxonomy 208600000X · Licence 0102205602 (VA)

Record details

NPI number1568887495
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 1, 2014
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address2333 Biddle Ave, Wyandotte, MI 48192-4668

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Bon Secours Medical Group Richmond Specialty Care Llc — 354 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Wyandotte