Individual
KATHRYN E KASS
Active
Individual
KATHRYN E KASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601006284
MI
363AM0700X
Medical Physician Assistant
Primary
5601006284
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C16002
MEDICARE GROUP PTAN
MI
01
—
0C16002138
MEDICARE PTAN
MI
01
—
2504
WISCONSIN STATE LICENSE
WI
Enumeration date
09/15/2009
Last updated
05/14/2026
Update your record
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