Individual
KASI ANN EASTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-6000
(502) 629-5991
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 629-6000
(502) 629-5991
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
02008233A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
02008233A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
04479
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100495240
—
KY
Enumeration date
03/26/2016
Last updated
05/12/2025
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