person
Mr. Fred Eugene Kasper, IDC
Military Health Care Provider in Gulfport, Mississippi
NPI 1629382957

Fred Eugene Kasper is a Military Health Care Provider based in Gulfport, MS. Fred Eugene Kasper practices in Gulfport, MS and has the professional credentials of IDC. The NPI Number for Fred Eugene Kasper is 1629382957 and holds a License No. (Mississippi).

The current practice location address for Fred Eugene Kasper is 5501 Marvin Shields Blvd, Gulfport, MS and can be reached out via phone at 228-822-5748.

Location: 5501 Marvin Shields Blvd, Gulfport, MS, 39503-3644
person
Provider Profile Details
NPI Number
1629382957
Provider Name
Fred Eugene Kasper
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
5501 Marvin Shields Blvd, Gulfport, MS, 39503-3644
Phone Number
228-822-5748
Fax Number
Provider Enumeration Date
07/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5501 Marvin Shields Blvd
City
State
Zip
39501-9007
Phone Number
228-822-5748
Fax Number
person
Provider Business Mailing Address Details
Address
5501 Marvin Shields Blvd
City
State
Zip
39501-9007
Phone Number
228-822-5748
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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