Individual
KYLE ADAM CASSIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(866) 898-7142
(616) 975-9824
Mailing address
PO BOX 78009, SAINT LOUIS, MO 63178-8009
(816) 932-2171
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2008006166
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40357011
BCBS
MO
Enumeration date
11/27/2006
Last updated
03/03/2009
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