Individual provider · Type 1 NPI

Kathy M. Vanbrunt, PA

Medical Physician Assistant · Lake Zurich, IL

NPI number 1467446732 Active

Practice location

15 S Old Rand Rd
Lake Zurich, IL 60047-2313

Fax (847) 438-1597

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0850003752 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1467446732

Kathy M. Vanbrunt, PA's National Provider Identifier is 1467446732, issued on Sep 1, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Lake Zurich, IL. The record was last updated on Jul 8, 2007.