Provider Demographics
NPI:1306019518
Name:VESSELS, CASSEY MARIE (MD (MAY 2008))
Entity Type:Individual
Prefix:DR
First Name:CASSEY
Middle Name:MARIE
Last Name:VESSELS
Suffix:
Gender:F
Credentials:MD (MAY 2008)
Other - Prefix:DR
Other - First Name:CASSEY
Other - Middle Name:MARIE
Other - Last Name:HARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2200 E PARRISH AVE
Mailing Address - Street 2:BLDG E. STE 205
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1449
Mailing Address - Country:US
Mailing Address - Phone:270-663-1078
Mailing Address - Fax:270-663-1079
Practice Address - Street 1:2200 E PARRISH AVE
Practice Address - Street 2:BLDG E. STE 205
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1449
Practice Address - Country:US
Practice Address - Phone:270-663-1078
Practice Address - Fax:270-663-1079
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY45100207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK058050Medicare PIN