Individual
KATHLEEN ANN CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
3006 S MARYLAND PKWY, SUITE #690, LAS VEGAS, NV 89109
(702) 732-1290
(702) 732-1385
Mailing address
3006 S MARYLAND PKWY, SUITE 690 CHILDRENS HEART CENTER, LAS VEGAS, NV 89109
(702) 732-1290
(702) 732-1385
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4793
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002777
—
NV
01
—
NV4793
BLUE CROSS BLUE SHIELD
—
01
—
VWCLCQ
MEDICARE GROUP #
NV
01
—
XPY044330
MEDI-CAL
—
Enumeration date
11/25/2005
Last updated
08/07/2012
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