| Organization Name: | ADA HEALTH FIRST INC |
| NPI Number: | 1023356342 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KASEY L BRUNDIDGE (PRACTIONER) |
| Mailing Address: | 1201 Arlington St Suite F Ada |
| State: | OK US |
| Postal Code: | 748204072 |
| Phone Number: | 5802791788 |
| Fax Number: | 5802791790 |
| NPI Enumeration Date: | 01/21/2013 |
| NPI Last Update Date: | 02/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 1618 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |