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

Kassie Idicula, PA

Individual provider Physician Assistant · NPI 1952711947

Kassie Idicula, PA is a Physician Assistant in Lubbock, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2412 50th St
Lubbock, TX 79412-2504
Phone: (806) 744-7223
Fax: (806) 740-3325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA08972 (TX)

Record details

NPI number1952711947
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 30, 2014
Last updated in NPPESOctober 13, 2014

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