Individual
DANIEL ADANE KASSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 W 40TH AVE, PINE BLUFF, AR 71603-6069
(870) 541-7611
Mailing address
1601 W 40TH AVE, PINE BLUFF, AR 71603-6069
(870) 541-7611
(870) 541-7618
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
03/25/2025
Last updated
11/04/2025
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