Individual
MR. KEVIN CASSEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 294-6545
Mailing address
4151 OLD LINCOLNTON RD, APPLING, GA 30802-4116
(706) 294-6545
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
Primary
RN147826
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN147826
—
GA
Enumeration date
08/04/2021
Last updated
08/04/2021
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