Individual provider · Type 1 NPI

Brady James Kesterholt, PA-C

Surgical Physician Assistant · Erie, PA

NPI number 1609618578 Active

Practice location

2315 Myrtle St Ste L90
Erie, PA 16502-4607

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XMA065538P (PA)

Surgical Physician Assistant: Definition to come...

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About NPI 1609618578

Brady James Kesterholt, PA-C's National Provider Identifier is 1609618578, issued on Jun 11, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Erie, PA. The record was last updated on Jun 27, 2024.