Individual
MR. FRED EUGENE KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
5501 MARVIN SHIELDS BLVD, GULFPORT, MS 39501-9007
(228) 822-5748
Mailing address
2317 LYNN AVE, GULFPORT, MS 39503-3644
(228) 206-4918
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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