Individual
KACIE CASSADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4651 N HARRISON ST, SHAWNEE, OK 74804-1440
(405) 214-1500
(405) 214-1507
Mailing address
4651 N HARRISON ST, SHAWNEE, OK 74804-1440
(405) 214-1500
(405) 214-1507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5720
OK
207QS0010X
Sports Medicine (Family Medicine) Physician
5720
OK
Other
Enumeration date
05/17/2010
Last updated
03/09/2022
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