Pellegrini, Kassandra Tasha

Pellegrini, Kassandra Tasha is an individual health care provider with primary practice located at 1650 Cochrane Cir # B7500 , Fort Carson CO 80913-4613. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Pellegrini, Kassandra Tasha can be contacted via phone (719) 526-7000.

Contact Information

Primary practice address
1650 Cochrane Cir # B7500 Fort Carson CO 80913-4613
Phone: (719) 526-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X 30310 Nebraska
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30310 Nebraska

Profile Details

NPI number 1285097980
LBN Legal business name Pellegrini, Kassandra Tasha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2016
Last updated Aug 17th, 2023 - about 3 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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