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Individual

KATHLEEN ANNE CASSIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
70 KENYON AVE, SUITE 103, WAKEFIELD, RI 02879-4239
(401) 789-0661
(401) 788-3958
Mailing address
PO BOX 229, WAKEFIELD, RI 02880-0229
(401) 788-3337
(401) 788-3939

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD07298
RI
207VG0400X
Gynecology Physician
Primary
MD 7298
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201601
BCBS
01
203339
BLUE CHIP
05
9003625
RI
Enumeration date
05/25/2006
Last updated
04/05/2016
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