Individual
KENNETH C KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST # 515, LITTLE ROCK, AR 72205-7101
(501) 686-6114
(501) 686-8139
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
30214
TN
207L00000X
Anesthesiology Physician
Primary
E-17007
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121591
—
MS
05
—
139197001
—
AR
05
—
204780415
—
MO
01
—
3124467
BLUECROSS BLUESHIELD
TN
05
—
3830558
—
TN
01
—
50068058
MEDICARE RAILROAD
—
01
—
97983
BLUECROSS BLUESHIELD
AR
Enumeration date
05/18/2006
Last updated
10/20/2023
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