Individual
MRS. KATHLEEN KASPAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC/AC
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(410) 776-8458
Mailing address
5257 WINDFIELD GLEN CT NW, LILBURN, GA 30047-8206
(410) 776-8458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN313861
GA
Other
Enumeration date
12/28/2018
Last updated
03/21/2023
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