DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. KASSANDRA ALYSABETH MELLOTT, PA-C

Active Sole Proprietor

MS. KASSANDRA ALYSABETH MELLOTT, PA-C is a Physician Assistant healthcare provider located in CLARINDA, Iowa. NPI 1528505070 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CLARINDA, IA

Registration Details

NPI Number
1528505070
Provider Type
Individual
Gender
Female
NPI Issued
Jan 23, 2017 (9.4113951189482 yrs)
Last Updated
May 4, 2022
Licenses
2237 (NE)
085452 (IA)
2237 (NE)
Sole Proprietor
Yes

Practice Information

Address
220 ESSIE DAVISON DR
CLARINDA, IA, 516322915
Browse IA providers · Browse ZIP 51632
Phone
7125422176
Fax
7125428311
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in CLARINDA, IA

Name Credential NPI
MRS. BONNIE LISLE MULLER P.A. 1134176191
SERA JOHNSON 1760223903
WADE OTT 1114763844
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.