MR. Fred Eugene Kasper, IDC
NPI #1629382957 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1629382957
- Entity Type
- Individual
- Name
- MR. Fred Eugene Kasper, IDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Credential
- IDC
- Enumeration Date
- Jul 28, 2010
- Last Updated
- Jul 28, 2010
Practice Location
- Address
- 5501 MARVIN SHIELDS BLVD
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-9007
- Phone
- (228) 822-5748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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