Free National NPI Number Registry
Dr. Katherine L Cassidy
Home >Dr. Katherine L Cassidy
NPI Number Detailed Information
Provider Information:
Name: | Dr. Katherine L Cassidy |
Gender: | F |
Provider License Number If Given: | 01054605A |
NPI Information:
NPI: | 1356336788 |
Entity Type (Individual or Organization): |
1-ind |
Enumeration Date: | 9/12/2005 |
Last Update Date: | 5/11/2016 |
Provider Business Mailing Address:
Address: | 3640 NEW VISION DRIVE SUITE A Fort Wayne, IN 46845 |
Phone Number: | 2604824440 |
Fax Number: | 2604824442 |
Provider Business Practice Location Address:
Address: | 2200 RANDALLIA DR Fort Wayne, IN 46805 |
Phone Number: | 2603734000 |
Fax Number: | 2604824442 |
Provider Taxonomy:
Primary: | 207P00000X |
Secondary (if any): | |
State: | IN |