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General NPI Number Information
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NPI Number | 1982295309
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Entity Type | Individual
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Provider Name | KIMBERLYNN GABRIELLE CASS PA
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Gender | Female
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 2906 NW VIVION RD
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City | RIVERSIDE
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State | MO
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Zip | 64150-1502
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Country | US
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Telephone | 816-599-5051
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 DR MARTIN LUTHER KING JR BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64130-2807
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Country | US
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Telephone | 816-923-5800
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Fax | 816-922-1070
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2022032222
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 15-02669
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License Number State | KS
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