Most Relevant Information
Provider Data
| NPI Number: | 1003659079 |
| Provider Name: | CASSIE J MCKILLIP FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 28233872A |
Most Important Dates
| Enumeration Date: | 06/17/2024 |
| Last Updated: | 09/11/2024 |
Provider Practice Location
2330 S DIXON RD
KOKOMO
IN
469026434
Practice Location Phone/Fax
| Phone: | 7654558822 |
| Fax: | 7658653935 |
Provider Mailing Location
6983 HILLSDALE CT
INDIANAPOLIS
IN
462502054
Provider Mailing Phone/Fax
| Phone: | 3178498350 |
| Fax: | 3178498358 |