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NPI Code Detail

MEDICARE: CASSIE KUMOR

MEDICARE: CASSIE KUMOR
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
1163WP0808XPsychiatric/Mental Health Registered NurseRN2351244MA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerRN2351244MA

General Provider Information

NPI Number : 1861299406
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE KUMOR
Provider Business Mailing Address
First Line : 94 S MAIN ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2123
Country : US
Telephone Number : 508-947-6100
Fax Number :
Provider Business Practice Location Address
First Line : 94 S MAIN ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2123
Country : US
Telephone Number : 508-947-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2025
Last Update Date : 02/05/2026

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Directions to “ CASSIE KUMOR ” Practice Location

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