Carly Lynn Kassa

NPI # 

Practice Address:

50 N Perry St

Pontiac, MI, 48342-2217

Practice Phone:

248-338-5645

Practice Fax:

248-338-5547

License Number:

4704297338

License State:

MI

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Gerontology

Taxonomy Code:

363LG0600X

Updated by NPPES on 6/5/2018. You can view the original data set for NPI # 1083106140 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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