Individual provider · Type 1 NPI

Kasey Lee Brundidge, PA-C

Medical Physician Assistant · Ada, OK

NPI number 1669676961 Active

About NPI 1669676961

Kasey Lee Brundidge, PA-C's National Provider Identifier is 1669676961, issued on Jun 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Ada, OK. The record was last updated on Oct 25, 2013.