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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KASEY A STATUM, M.D.

Active

KASEY A STATUM, M.D. is a Pediatrics healthcare provider located in LAKELAND, Florida. NPI 1720082076 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · LAKELAND, FL

Registration Details

NPI Number
1720082076
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2005 (21.214091275758 yrs)
Last Updated
Nov 27, 2023
Licenses
21877 (WV)
0101246540 (VA)
227551 (NY)
ME114685 (FL)

Practice Information

Address
1500 LAKELAND HILLS BLVD STE 1
LAKELAND, FL, 338053257
Browse FL providers · Browse ZIP 33805
Phone
8322424735
Fax
2393021344
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics
Additional Specialty
Pediatrics

Other Pediatrics Providers in LAKELAND, FL

Name Credential NPI
TAMARA THRELKELD PISTORIA DO 1932107158
MANSOOREH SALARI MD 1144218629
ROBERT EANETT MD 1518939818
WILLIAM ERIC RAY MD 1891767836
WILSON JASON CORNETT MD 1740253053
JOHN CLIFTON MOORE III MD 1659344968
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.