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Individual

ADAM W. KASSNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909
(719) 365-1292
(719) 365-6997
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-2403
(970) 490-4173

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49193
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8176372
WA
01
P00358093
RAILROAD
WA
Enumeration date
09/15/2006
Last updated
07/12/2018
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