Female

Kaitlyn J. Agra PA-C

Physician Assistant in Canton, OH(View on Map)

Full Name

Kaitlyn Jamie Agra PA-C

NPI Number

1346082203

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/11/2024

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

Ohio

License Number

50.008824RX

Contact
Information

Purpose

Mailing
Location

Address

10056 MALLARD CT
4124 MUNSON ST NW

City

Streetsboro
Canton

State

OH
OH

Postal Code

44241-4330
44718-4804

Country

US
US

Telephone Number

N/A
(234) 410-7546

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/11/2024

Provider Address

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