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

Kassidi Pruett

Individual provider Case Manager/Care Coordinator · NPI 1528772704

Kassidi Pruett is a Case Manager/Care Coordinator in Ponca City, Oklahoma. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

407 W South Ave
Ponca City, OK 74601-6133
Phone: (844) 458-2100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1528772704
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 11, 2023
Last updated in NPPESJanuary 11, 2023
Certification dateJanuary 11, 2023

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