Individual
CHARLES V KASSICIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6724 PERIMETER LOOP RD, SUITE 202, DUBLIN, OH 43017-3202
(614) 975-5008
(614) 792-2400
Mailing address
6724 PERIMETER LOOP RD, SUITE 202, DUBLIN, OH 43017-3202
(614) 975-5008
(614) 792-2400
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34004319K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670591
—
OH
Enumeration date
04/25/2006
Last updated
07/09/2007
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