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

Kayla R Licari, PA-C

Individual provider Medical Physician Assistant · NPI 1770811903

Kayla R Licari, PA-C is a Medical Physician Assistant in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

3700 52nd St SE
Grand Rapids, MI 49512-9637
Phone: (616) 656-3700
Fax: (616) 656-3701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005659 (MI)

Record details

NPI number1770811903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 30, 2009
Last updated in NPPESNovember 30, 2009

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