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NPI Code Detail

MEDICARE: KASSIE BUSBY RN

MEDICARE: KASSIE BUSBY RN
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
1163W00000XRegistered Nurse95137080CA

General Provider Information

NPI Number : 1134051113
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASSIE BUSBY RN
Provider Business Mailing Address
First Line : 1227 BROOKLINE LN
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93314-4406
Country : US
Telephone Number : 661-979-4845
Fax Number :
Provider Business Practice Location Address
First Line : 7311 ROSEDALE HWY
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93308-5738
Country : US
Telephone Number : 661-589-3830
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2026
Last Update Date : 06/02/2026

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