# MS. CASIE M MAYNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1881003036
- **Gender:** F
- **Credential:** PA-C,RD, LD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | 1821 | KY | — |
| 133V00000X | Registered Dietitian | 954485 | KY | — |
| 363A00000X | Physician Assistant | PA2156 | KY | Yes |
| 363AM0700X | Medical Physician Assistant | PA2156 | KY | — |
| 363AS0400X | Surgical Physician Assistant | PA2156 | KY | — |

## Other

- **Enumeration date:** 08/12/2014
- **Last updated:** 12/09/2020