Provider Demographics
NPI:1821119140
Name:CASSE, BILLIE KATHLEEN (DO)
Entity Type:Individual
Prefix:DR
First Name:BILLIE
Middle Name:KATHLEEN
Last Name:CASSE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5452 RENO CORPORATE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2250
Mailing Address - Country:US
Mailing Address - Phone:775-245-2426
Mailing Address - Fax:775-245-2380
Practice Address - Street 1:5452 RENO CORPORATE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2250
Practice Address - Country:US
Practice Address - Phone:775-245-2426
Practice Address - Fax:775-245-2380
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAS-2762032-274207N00000X
NVDO1493207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology