Individual
JAIMIE LYNN KASSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
833 CHEIF EDDIE HOFFMAN HWY, BETHEL, AK 99559
(907) 543-2762
(907) 543-3152
Mailing address
PO BOX 1029, MCCANN TREATMENT CENTER, BETHEL, AK 99559-1029
(907) 543-6800
(907) 543-7101
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002447
—
AK
05
—
1004541
—
AK
Enumeration date
04/29/2014
Last updated
11/26/2018
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