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

Individual provider Physician Assistant · NPI 1932455599

Kaitlyn Elizabeth Hefferan, PA is a Physician Assistant in Warren, Michigan. Works from 3 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

28800 Ryan Rd
Warren, MI 48092-4272
Phone: (586) 558-2860
Fax: (586) 558-4651
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 26850 Providence Pkwy Ste 260, Novi, MI 48374-1256 — (248) 465-5140
  • 210 N Lafayette St, South Lyon, MI 48178-2048 — (248) 465-5140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006384 (MI)

Record details

NPI number1932455599
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 31, 2012
Last updated in NPPESMay 14, 2019

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