KIMBERLY KRISTIN DURIED KASSAB
NPI 1346019742
Student in an Organized Health Care Education/Training Program in Castle Rock, CO

Active since December 27, 2023
738 CHANDELLE RD, CASTLE ROCK, CO 80104(720) 471-8079 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Kristin Duried Kassab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY KRISTIN DURIED KASSAB (NPI 1346019742) is an individual student in an organized health care education/training program in Castle Rock, Colorado and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1346019742
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY KRISTIN DURIED KASSAB
Location Address738 CHANDELLE RDCastle Rock, CO 80104-7730
Mailing Address738 Chandelle RdCastle Rock, CO 80104-7730 · (720) 471-8079
Sole ProprietorYes
Enumeration DateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
NPI 1346019742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License APN.0994636-CNS (CO)
Also ListedClinical Nurse Specialist · GerontologyTaxonomy 364SG0600X · License APN.0994636-CNS (CO)
738 CHANDELLE RD, Castle Rock, CO 80104

Other Names 1

Former Name (1)Kimberly Kristin Hahn

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346019742, enumerated as an "individual" on December 27, 2023.

The provider is located at 738 CHANDELLE RD CASTLE ROCK, CO 80104 and the phone number is (720) 471-8079.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.