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Contact Information

KIMMIE L CASS, DO
1307 CRANESBILL CT
APT. 101
BELCAMP, MD21017-2415
 Phone: 410-652-4812
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIMMIE L CASS · (Female)

NPI Number 1013967454
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/10/2006
Last updated 03/04/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2002-01349
  • NC Medicaid 89-135YJ
  • SC Medicaid Q01349
  • NC Other 135YJ BCBSNC
Hospital affiliation(s) Not Available
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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