Individual
JIMMY KASSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 N LOTZ RD, CANTON, MI 48187-4331
(734) 394-4500
Mailing address
5900 N LOTZ RD, CANTON, MI 48187-4331
(734) 394-4500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704377909
MI
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704377909
MI
Other
Enumeration date
10/02/2025
Last updated
03/23/2026
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