Provider Demographics
NPI:1003518853
Name:KASH, TAMMI LYNN (N/A)
Entity Type:Individual
Prefix:
First Name:TAMMI
Middle Name:LYNN
Last Name:KASH
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 S WATER TOWER PL
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IL
Mailing Address - Zip Code:62864-2349
Mailing Address - Country:US
Mailing Address - Phone:618-246-9210
Mailing Address - Fax:618-242-8240
Practice Address - Street 1:4000 S WATER TOWER PL
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IL
Practice Address - Zip Code:62864-2349
Practice Address - Country:US
Practice Address - Phone:618-246-9210
Practice Address - Fax:618-242-8240
Is Sole Proprietor?:No
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information