Cassas, Kyle James

Cassas, Kyle James is an individual health care provider with primary practice located at 200 Patewood Dr Suite C 100, Greenville SC 29615-3593. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Cassas, Kyle James can be contacted via phone (864) 454-7422.

Contact Information

Primary practice address
200 Patewood Dr Suite C 100 Greenville SC 29615-3593
Phone: (864) 454-7422
Fax: (864) 454-8265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 27520 South Carolina

Profile Details

NPI number 1598718934
LBN Legal business name Cassas, Kyle James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Mar 23rd, 2016 - about 9 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 1598718934 NPPES
South Carolina Other P00797627 RR MEDICARE
South Carolina Other P00349204 RR MEDICARE
South Carolina MEDICAID 275204 RR MEDICARE

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