Individual
CASSIE J MCKILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2330 S DIXON RD STE 325, KOKOMO, IN 46902-6430
(765) 455-8822
(765) 865-3935
Mailing address
6983 HILLSDALE CT, INDIANAPOLIS, IN 46250-2054
(317) 849-8350
(317) 849-8358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28233872A
IN
363LF0000X
Family Nurse Practitioner
Primary
71015652A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300096968
—
IN
Enumeration date
06/17/2024
Last updated
02/27/2025
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