MEDICARE: KADEY BURSTEIN PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	13202	GA

General Provider Information

NPI Number	:	1841181153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADEY BURSTEIN PA-C

Provider Business Mailing Address
First Line	:	5730 GLENRIDGE DR STE 300
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5504
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5730 GLENRIDGE DR STE 300
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-5504
Country	:	US
Telephone Number	:	404-631-6156
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	02/19/2026

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