Kimmie L Cass
Pediatric Emergency Doctor
1307 Cranesbill Ct Apt. 101
Belcamp
, Maryland 21017-2415
Kimmie L Cass
Pediatric Emergency Doctor
1307 Cranesbill Ct Apt. 101
Belcamp
, Maryland 21017-2415
(410) 652-4812
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About
Features
Specialties
- Pediatric Emergency Doctor
Languages spoken
- English
Location
First Address
- Kimmie L Cass
- 1307 Cranesbill Ct Apt. 101
- Belcamp, MD
- Zip : 21017-2415
- Phone : (410) 652-4812
Second Address
- Kimmie L Cass
- 1307 Cranesbill Ct Apt. 101
- Belcamp, MD
- Zip : 21017-2415
- Phone : (410) 652-4812
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0204X | Pediatric Emergency Doctor | 2002-01349 | NC |
National Provider Identifier
| NPI | 1013967454 |
|---|---|
| Provider Name | Kimmie L Cass |
| First Address | Belcamp, MD 21017-2415 |
| Second Address | Belcamp, MD 21017-2415 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 04/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 135YJ | BCBSNC (01) | NC |
| 89-135YJ | (05) | NC |
| I13608 | (02) | |
| Q01349 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.