Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 1 | AR |
NPI | 1164491155 |
---|---|
Provider Name | Dr. Kay Amin Cashman |
First Address | Fayetteville, AR 72703-0023 |
Second Address | Fayetteville, AR 72703-4618 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 13/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5X340 | BCBS (01) | |
P00070632 | MEDICARE RAILROAD (01) |