Provider Demographics
NPI:1164491155
Name:CASHMAN, KAY AMIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAY
Middle Name:AMIN
Last Name:CASHMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9390
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-0023
Mailing Address - Country:US
Mailing Address - Phone:479-464-5824
Mailing Address - Fax:479-725-2395
Practice Address - Street 1:390 E LONGVIEW ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:AR
Practice Address - Zip Code:72703-4618
Practice Address - Country:US
Practice Address - Phone:479-527-2763
Practice Address - Fax:479-442-5279
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5X340OtherBCBS
P00070632OtherMEDICARE RAILROAD
AR5X340Medicare PIN