Individual
KASSIDEE GRACE BRUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
551 W 2150 N, CEDAR CITY, UT 84721-7182
(970) 629-5221
Mailing address
551 W 2150 N, CEDAR CITY, UT 84721-7182
(970) 629-5221
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14269208-1206
UT
Other
Enumeration date
01/14/2026
Last updated
01/25/2026
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