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Contact Information

KEVIN CASSEDY
1120 15TH ST
AUGUSTA, GA30912-0004
 Phone: 706-294-6545
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroscience

163WN0800X
Indicates primary specialty

NPI Profile & details for KEVIN CASSEDY · (Male)

NPI # 1093489817
Status Active
Credentials
Entity Individual
Enumeration date 08/04/2021
Last updated 08/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN147826
  • GA Medicaid RN147826
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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