Individual
KALEB AFSHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 S NATIONAL AVE, SPRINGFIELD, MO 65807-5210
(417) 269-4550
Mailing address
1000 E PRIMROSE ST STE 520, SPRINGFIELD, MO 65807-5180
(417) 231-1331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2022035814
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2018
Last updated
09/27/2022
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