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

Kori Leeann Bleam, PASTUDENT

Individual provider Physician Assistant · NPI 1104709260

Kori Leeann Bleam, PASTUDENT is a Physician Assistant in Philadelphia, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

600 S 43rd St # 27
Philadelphia, PA 19104-4418
Phone: (610) 660-1000
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1104709260
Entity typeIndividual (Type 1)
GenderFemale
Credentials PASTUDENT
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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