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

MS. Carly Lynn Kassa

Individual provider Gerontology Nurse Practitioner · NPI 1083106140

MS. Carly Lynn Kassa is a Gerontology Nurse Practitioner in Pontiac, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018

Practice location Address checks out

50 N Perry St
Pontiac, MI 48342-2217
Phone: (248) 338-5645
Fax: (248) 338-5547
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704297338 (MI)

Record details

NPI number1083106140
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2018
Last updated in NPPESJune 5, 2018

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