Kaitlyn Michelle Fagan, PA
NPI #1043900590 in Jacksonville, Florida
Provider Information
- NPI Number
- 1043900590
- Entity Type
- Individual
- Name
- Kaitlyn Michelle Fagan, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- May 9, 2023
- Last Updated
- Feb 13, 2025
Practice Location
- Address
- 1550 RIVERSIDE AVE
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32204-4161
- Phone
- (904) 923-6647
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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