Kathleen Rose Marks Carpenter
Kathleen Rose Marks Carpenter is an Anesthesiology Assistant in Melbourne, Florida. Qualified in 2025, 1 year ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.
- Years since qualifying
- 1
- In the registry since
- 2025
Practice location Address checks out
1350 Hickory StMelbourne, FL 32901-3224
Phone: (321) 327-3540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiologist Assistant (primary) | Taxonomy 367H00000X |
|---|
Record details
| NPI number | 1518856772 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2025 |
| Last updated in NPPES | July 1, 2025 |
| Certification date | July 1, 2025 |
| Mailing address | 2105 N Highway A1a, Indialantic, FL 32903-2512 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Brevard Physician Associates Pllc — 219 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Miss. Natalie Brecese, CAA
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Mr. Dustin Burnham
1350 Hickory St, Melbourne, FL 32901-3224 · (321) 434-7144
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