Mason, Kelly Cassedy

Mason, Kelly Cassedy is an individual health care provider with primary practice located at 2645 Meridian Pkwy Ste 323 , Durham NC 27713-4232. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mason, Kelly Cassedy can be contacted via phone (984) 227-8902.

Contact Information

Primary practice address
2645 Meridian Pkwy Ste 323 Durham NC 27713-4232
Phone: (984) 227-8902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 124340 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 124340 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5008052 North Carolina

Profile Details

NPI number 1346430691
LBN Legal business name Mason, Kelly Cassedy
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Mar 17th, 2022 - about 2 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 1346430691 NPPES
Georgia MEDICAID 005599973A

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