Individual
KASEY CUSHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3514 MAIN ST, COVENTRY, CT 06238-1551
(860) 742-3543
Mailing address
50 S B B KING BLVD STE 100, MEMPHIS, TN 38103-9802
(901) 436-1381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011067
NC
363LF0000X
Family Nurse Practitioner
6938
CT
Other
Enumeration date
01/31/2017
Last updated
11/28/2022
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