Individual
MISTY KASKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1020 NEW RIVER PKWY STE 200, FALLON, NV 89406-7801
(775) 428-2633
(775) 428-2630
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
(775) 428-2633
(775) 428-2630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2984
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250015218
—
NV
01
—
V69912
PTAN
NV
Enumeration date
04/06/2018
Last updated
11/29/2021
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