Individual
MS. KRISTEN M. BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM
Contact information
Practice address
4024 CENTRAL AVE, ST PETERSBURG, FL 33711-1239
(727) 327-7656
(727) 322-2110
Mailing address
PO BOX 10970, ST PETERSBURG, FL 33733-0970
(727) 327-7656
(727) 322-2110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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