Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassidy N Kimball, AA

Individual provider Anesthesiologist Assistant · NPI 1124692702

Cassidy N Kimball, AA is an Anesthesiology Assistant in Kansas City, Missouri. Qualified in 2021, 5 years ago. Practices with Saint Lukes Physician Group Inc, a 1,229-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

4401 Wornall Rd
Kansas City, MO 64111-3220
Phone: (816) 932-3679
Fax: (816) 932-3368
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 2021022736 (MO)

Record details

NPI number1124692702
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedMay 18, 2021
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Saint Lukes Physician Group Inc — 1229 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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