Individual
JULIAN PAUL KASSNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
(863) 687-1100
Mailing address
2115 CRYSTAL GROVE DR, LAKELAND, FL 33801-6875
(863) 688-2334
(863) 581-8812
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
61793
MD
2085R0202X
Diagnostic Radiology Physician
MD00045843
WA
2085R0202X
Diagnostic Radiology Physician
Primary
ME100717
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240180
—
OR
01
—
4848KA
REGENCE
WA
05
—
8462525
—
WA
Enumeration date
02/21/2006
Last updated
03/12/2024
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