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

Mrs. Cassidy Jo Koons

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063207751

Mrs. Cassidy Jo Koons is a Student in an Organized Health Care Education/Training Program in Kendallville, Indiana. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

415 Drake Rd
Kendallville, IN 46755-2007
Phone: (260) 347-0100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063207751
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 12, 2025
Last updated in NPPESApril 12, 2025
Certification dateApril 12, 2025
Mailing address415 Drake Rd, Kendallville, IN 46755-2007