Provider Demographics
NPI:1851731939
Name:YOST, KAITLYN J (PA)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:J
Last Name:YOST
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:J
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:200 MUNICIPAL DR
Mailing Address - Street 2:
Mailing Address - City:THORNDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19372-1058
Mailing Address - Country:US
Mailing Address - Phone:610-383-6300
Mailing Address - Fax:610-679-5578
Practice Address - Street 1:1600 E HIGH ST
Practice Address - Street 2:POTTSTOWN MEMORIAL MEDICAL CENTER
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-5008
Practice Address - Country:US
Practice Address - Phone:610-327-7710
Practice Address - Fax:610-705-5652
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA056190363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA298682Medicare PIN