Individual
KASSIDY D KASPERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
210 WESTERN AVE, SOUTH PORTLAND, ME 04106-2424
(207) 775-7468
Mailing address
210 WESTERN AVE, SOUTH PORTLAND, ME 04106-2424
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2674
ME
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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