# KASSIDY NOELLE BRUGMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1336800168
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246RP1900X | Phlebotomy Technician | PC61239792 | WA | — |
| 363A00000X | Physician Assistant | PA.PA.61689173 | WA | Yes |
| 376K00000X | Nurse's Aide | NC60791384 | WA | — |

## Other

- **Enumeration date:** 01/04/2022
- **Last updated:** 06/16/2025