Provider Demographics
NPI:1740899301
Name:KASSMEL INC
Entity type:Organization
Organization Name:KASSMEL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KASSMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-653-1434
Mailing Address - Street 1:1777 REISTERSTOWN RD STE 14A
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1314
Mailing Address - Country:US
Mailing Address - Phone:410-653-1434
Mailing Address - Fax:
Practice Address - Street 1:2138 GENERALS HWY UNIT C
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-6723
Practice Address - Country:US
Practice Address - Phone:410-295-7300
Practice Address - Fax:410-263-2295
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies