Kimberly Kristin Duried Kassab, is a
Student In An Organized Health Care Education/training Program based in Castle Rock, Colorado. Kimberly Kristin Duried Kassab is licensed to practice in * (Not Available) (license number ) and her current practice location is
738 Chandelle Rd, Castle Rock, Colorado. She can be reached at her office (for appointments etc.) via phone at
(720) 471-8079.
NPI number for Kimberly Kristin Duried Kassab is 1346019742 and her current mailing address is 738 Chandelle Rd, Castle Rock, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346019742.
Provider's Profile
| Full Name | Kimberly Kristin Duried Kassab |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 738 Chandelle Rd, Castle Rock, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346019742
- Provider Enumeration Date: 12/27/2023
- Last Update Date: 12/27/2023
Medical Identifiers
Medical identifiers for Kimberly Kristin Duried Kassab such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346019742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | APN.0994636-CNS (Colorado) | Secondary |
| 364SG0600X | Clinical Nurse Specialist - Gerontology | APN.0994636-CNS (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Kristin Duried Kassab is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Kristin Duried Kassab,
738 Chandelle Rd,
Castle Rock, CO 80104-7730
Ph: (720) 471-8079 | Kimberly Kristin Duried Kassab,
738 Chandelle Rd,
Castle Rock, CO 80104-7730
Ph: (720) 471-8079 |
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