Organization
TAMELLA BUSS CASSIS MD PLLC
Active
Other names
Cassis Dermatology & Aesthetics Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMELLA BUSS CASSIS M.D. (PRESIDENT)
(502) 326-8588
Entity
Organization
Contact information
Practice address
9301 DAYFLOWER ST, SUITE 100, PROSPECT, KY 40059-7585
(502) 326-8588
(502) 326-8589
Mailing address
9301 DAYFLOWER ST, SUITE 100, PROSPECT, KY 40059-7585
(502) 326-8588
(502) 326-8589
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
38026
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100048460
—
KY
Enumeration date
01/03/2008
Last updated
02/17/2011
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