Casagni, Kimberely Sue

Casagni, Kimberely Sue is an individual health care provider with primary practice located at 171 Grandview Ave Suite 201, Waterbury CT 06708-2517. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Casagni, Kimberely Sue can be contacted via phone (203) 578-4630.

Contact Information

Primary practice address
171 Grandview Ave Suite 201 Waterbury CT 06708-2517
Phone: (203) 578-4630
Fax: (203) 578-4629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 003065 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 003065 Connecticut

Profile Details

NPI number 1427158781
LBN Legal business name Casagni, Kimberely Sue
Credentials A.P.R.N.-FNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Nov 17th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427158781 NPPES
Connecticut Other 400003065CT03 ANTHEM
Connecticut Other 030650 ANTHEM
Connecticut Other 2V6388 ANTHEM
Connecticut Other P3387910 ANTHEM
Connecticut Other P00277966 ANTHEM
Connecticut MEDICAID 004257459 ANTHEM
Connecticut Other 400003065CT05 ANTHEM

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