Cass, Kimmie L

Cass, Kimmie L is an individual health care provider with primary practice located at 1307 Cranesbill Ct Apt. 101, Belcamp MD 21017-2415. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Cass, Kimmie L can be contacted via phone (410) 652-4812.

Contact Information

Primary practice address
1307 Cranesbill Ct Apt. 101 Belcamp MD 21017-2415
Phone: (410) 652-4812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 2002-01349 North Carolina

Profile Details

NPI number 1013967454
LBN Legal business name Cass, Kimmie L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Mar 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013967454 NPPES
North Carolina Other 135YJ BCBSNC
North Carolina MEDICAID 89-135YJ BCBSNC
North Carolina MEDICAID Q01349 BCBSNC

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