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

Kendall Brodie Northcutt, PA-C

Individual provider Physician Assistant · NPI 1053610964

Kendall Brodie Northcutt, PA-C is a Physician Assistant in Lutz, Florida. Licensed in Florida. Registered with an NPI since 2011.

Licensed in
FL
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1854 Oak Grove Blvd
Lutz, FL 33559-8605
Phone: (813) 471-9709
Fax: (813) 681-1191
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9105895 (FL)

Record details

NPI number1053610964
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 17, 2011
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021

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