Mellott, Kassandra Alysabeth

Mellott, Kassandra Alysabeth is an sole proprietor health care provider with primary practice located at 220 Essie Davison Dr , Clarinda IA 51632-2915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Mellott, Kassandra Alysabeth can be contacted via phone (712) 542-2176.

Contact Information

Primary practice address
220 Essie Davison Dr Clarinda IA 51632-2915
Phone: (712) 542-2176
Fax: (712) 542-8311
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2237 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085452 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2237 Nebraska

Profile Details

NPI number 1528505070
LBN Legal business name Mellott, Kassandra Alysabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2017
Last updated May 4th, 2022 - about 4 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.

Request for update

Popular Providers