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NPI Code Detail

MEDICARE: CASSANDRA KIM

MEDICARE: CASSANDRA KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist008243KY
2225100000XPhysical Therapist
3225100000XPhysical TherapistPT019563OH

General Provider Information

NPI Number : 1427632694
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSANDRA KIM
Provider Business Mailing Address
First Line : 431 ELM ST
Second Line :
City : LUDLOW
State : KY
Zip : 41016-1427
Country : US
Telephone Number : 740-590-1362
Fax Number :
Provider Business Practice Location Address
First Line : 230 W GALBRAITH RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45215-5223
Country : US
Telephone Number : 513-740-1950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2021
Last Update Date : 01/22/2026

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Directions to “ CASSANDRA KIM ” Practice Location

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