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KASEY A STATUM M.D.
NPI 1720082076
Pediatrics in Lakeland, FL

Active since June 01, 2005
1500 LAKELAND HILLS BLVD STE 1, LAKELAND, FL 33805(832) 242-4735(239) 302-1344 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2022, Jun 30, 2020 (2 updates tracked since 2020).

About Kasey A Statum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KASEY A STATUM M.D. (NPI 1720082076) is an individual pediatrics provider in Lakeland, Florida, licensed in Florida (ME114685) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1720082076
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKASEY A STATUMCredential: M.D.
Location Address1500 LAKELAND HILLS BLVD STE 1Lakeland, FL 33805-3257
Mailing Address4437 N Candlewood DrBeverly Hills, FL 34465-8907 · (301) 254-4316
Phone(832) 242-4735
Fax(239) 302-1344
Sole ProprietorNo
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 30, 2020
✔ NPI 1720082076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME114685✔ Licensed in WV · 21877✔ Licensed in VA · 0101246540✔ Licensed in NY · 227551
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1500 LAKELAND HILLS BLVD STE 1, Lakeland, FL 33805
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Other Identifiers 1

Medicaid3810003695WV

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INSPIRE TARGETED CASE MANAGEMENT AGENCY LLC
Case Management
1500 LAKELAND HILLS BLVD STE 1
LAKELAND, FL 33805
Polk County (863) 242-4735
INSPIRE MEDICAL GROUP INC
Internal Medicine (Infectious Disease)
1500 LAKELAND HILLS BLVD STE 1
LAKELAND, FL 33805
Polk County (863) 242-4735

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kasey Statum's NPI number?

The NPI number for Kasey Statum is 1720082076. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kasey Statum located?

Kasey Statum practices at 1500 Lakeland Hills Blvd Ste 1, Lakeland, FL 33805. The listed phone number is (832) 242-4735.

What is Kasey Statum's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Kasey Statum was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.