Individual
KORY MATTHEW KASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 N PITTSBURG LNDG, SPRINGFIELD, IL 62711-8208
(217) 210-1475
Mailing address
117 N PITTSBURG LNDG, SPRINGFIELD, IL 62711-8208
(217) 210-1475
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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