Provider Demographics
NPI:1366173312
Name:WAMPLER, CASSANDRA C (MD)
Entity type:Individual
Prefix:DR
First Name:CASSANDRA
Middle Name:C
Last Name:WAMPLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1735 27TH ST STE B06
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2681
Mailing Address - Country:US
Mailing Address - Phone:740-356-8681
Mailing Address - Fax:740-356-1256
Practice Address - Street 1:246 COMMONWEALTH RD
Practice Address - Street 2:
Practice Address - City:VANCEBURG
Practice Address - State:KY
Practice Address - Zip Code:41179-5003
Practice Address - Country:US
Practice Address - Phone:606-796-0010
Practice Address - Fax:606-796-0011
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2025-07-17
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Provider Licenses
StateLicense IDTaxonomies
KY60157207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine