Kettly Cassamajor

NPI 1235660267 · on the registry since 2017 · sole proprietor

Practice

Address: 4920 Main St Ste 302
Bridgeport, CT 06606
Phone: (475) 210-4960
Fax: (203) 371-0542
Organisation at this address: Surgical Center Of Connecticut Llc
Northeast Ambulatory Anesthesia Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: CT
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut