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1639170178
KELLY J. CASSEDY
KINGSPORT, TN
NPI
1639170178
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: TN 23468)
Enumeration Date
2005-08-09
Last Update Date
2023-07-11
Business Address
KELLY J. CASSEDY M.D.
130 W RAVINE RD
KINGSPORT, TN 37660-3810
Phone number: 423-968-1144
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Mailing Address
KELLY J. CASSEDY M.D.
3053 W STATE ST
BRISTOL, TN 37620-1720
Phone number: 423-968-1144
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