Most Relevant Information
Provider Data
| NPI Number: | 1003564360 |
| Provider Name: | KASSANDRA KAYE PERSINGER LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LPN.131856.MEDS-IV |
Most Important Dates
| Enumeration Date: | 03/16/2022 |
| Last Updated: | 03/16/2022 |
Provider Practice Location
643 WASHINGTON AVE
LANCASTER
OH
431302446
Practice Location Phone/Fax
| Phone: | 7403041075 |
| Fax: |
Provider Mailing Location
643 WASHINGTON AVE
LANCASTER
OH
431302446
Provider Mailing Phone/Fax
| Phone: | 7403041075 |
| Fax: |