Kellee K Brady, PA-C
Physician Assistant in Olympia, WA. Individual provider (NPI-1).
NPI number1487623799
StatusActive
Last updated in NPPESAug 8, 2023
Details
- NPI
- 1487623799
- Entity type
- Individual (NPI-1)
- Name
- Kellee K Brady
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 17, 2006
- Certification date
- Aug 8, 2023
- Last updated
- Aug 8, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003729 | WA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA10003729 | WA |
Practice location
413 Lilly Rd SeOlympia, WA 98501-2108
Phone 253-888-9077 · Fax 904-634-0203
Mailing address
Po Box 347Ponte Vedra Beach, FL 32004-0347
Phone 253-888-9077 · Fax 253-888-9077
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All 109 Physician Assistant providers in Olympia · All 6,015 providers in Olympia
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