MEDICARE: MRS. CASSAUNDRA KALMAN CRAIG PA-C

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
1	363AM0700X	Medical Physician Assistant	C5-0012473	DE
2	363AM0700X	Medical Physician Assistant	0010-06331	NC
3	363AM0700X	Medical Physician Assistant	50.004931RX	OH
4	363AM0700X	Medical Physician Assistant	PA.0009619	CO
5	363AM0700X	Medical Physician Assistant	TC163	KY

General Provider Information

NPI Number	:	1629431002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CASSAUNDRA KALMAN CRAIG PA-C

Provider Business Mailing Address
First Line	:	7300 BEECHMONT AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45230-4119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5390 DIXIE HWY
Second Line	:
City	:	FAIRFIELD
State	:	OH
Zip	:	45014-4124
Country	:	US
Telephone Number	:	513-777-1333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	05/22/2026

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Directions to “ MRS. CASSAUNDRA KALMAN CRAIG PA-C” Practice Location

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