Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kasey A Statum, MD

Individual provider Pediatrics Physician · NPI 1720082076

Kasey A Statum, MD is a Pediatrics Physician in Lakeland, Florida. Licensed in Florida, New York, Virginia and West Virginia. Registered with an NPI since 2005.

Licensed in
FL, NY, VA, WV
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1500 Lakeland Hills Blvd Ste 1
Lakeland, FL 33805-3257
Phone: (832) 242-4735
Fax: (239) 302-1344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME114685 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 21877 (WV)
Pediatrics Physician Taxonomy 208000000X · Licence 0101246540 (VA)
Pediatrics Physician Taxonomy 208000000X · Licence 227551 (NY)

Record details

NPI number1720082076
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESNovember 27, 2023
Certification dateJune 30, 2020
Mailing address4437 N Candlewood Dr, Beverly Hills, FL 34465-8907

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