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Contact Information

KRISTIN K CASSIDY, MD
150 LANCE DR
TWIN LAKES, WI53181
 Phone: 262-877-2124
 Fax: 262-877-9833
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KRISTIN K CASSIDY · (Female)

NPI Number 1366451411
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 40094
  • WI Medicaid 34012400
Hospital affiliation(s)
  • AURORA MED CTR KENOSHA - (Acute Care)
    10400 75TH ST
    KENOSHA, WI 53142
  • AURORA MEMORIAL HSPTL BURLINGTON - (Acute Care)
    252 MCHENRY ST
    BURLINGTON, WI 53105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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