Cassedy, Kevin

Cassedy, Kevin is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-0004. He recently has only one registered license in Nursing Service Providers / Neuroscience, which is considered as his primary health care specialty. Cassedy, Kevin can be contacted via phone (706) 294-6545.

Contact Information

Primary practice address
1120 15Th St Augusta GA 30912-0004
Phone: (706) 294-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neuroscience 163WN0800X RN147826 Georgia

Profile Details

NPI number 1093489817
LBN Legal business name Cassedy, Kevin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2021
Last updated Aug 4th, 2021 - about 5 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 1093489817 NPPES
Georgia MEDICAID RN147826

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