Individual provider · Type 1 NPI

Fred Eugene Kasper, IDC

Military Health Care Provider · Gulfport, MS

NPI number 1629382957 Active

Practice location

5501 Marvin Shields Blvd
Gulfport, MS 39501-9007

Mailing address

2317 Lynn Ave
Gulfport, MS 39503-3644

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: 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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About NPI 1629382957

Fred Eugene Kasper, IDC's National Provider Identifier is 1629382957, issued on Jul 28, 2010. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 28, 2010.