Organization
SURGICAL PA, LLC
Active
Other names
Surgical PA, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEE K BRADY PA-C (OWNER)
(253) 888-9077
Entity
Organization
Contact information
Practice address
413 LILLY RD SE, OLYMPIA, WA 98501-2108
(253) 888-9077
Mailing address
PO BOX 347, PONTE VEDRA BEACH, FL 32004-0347
(253) 888-9077
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
08/08/2023
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