Individual
CASEY JASPER CORDTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 796-5498
(270) 796-5490
Mailing address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 251-6299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2021048792
MO
208M00000X
Hospitalist Physician
35240
KS
208M00000X
Hospitalist Physician
Primary
59959
KY
Other
Enumeration date
04/16/2008
Last updated
01/10/2025
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