Doctor Name: | KIMMIE L CASS |
NPI Number: | 1013967454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | 2002-01349 |
Business Practice Address: | 1307 Cranesbill Ct Apt. 101 Belcamp, MD - 210172415 |
Business Phone Number: | 4106524812 |
Business Fax Number: | |
Mailing Address: | 1307 Cranesbill Ct, Apt. 101 BELCAMP |
State: | MD |
Postal Code: | 210172415 |
Phone Number: | 4106524812 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2006 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080P0204X |
License Number: | 2002-01349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Pediatric Emergency Medicine |
Taxonomy Definition: | A pediatrician who has special qualifications to manage emergencies in infants and children. |