Individual
KASEY DIANE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2617 ALMOND ST, KLAMATH FALLS, OR 97601-1116
(541) 274-8690
Mailing address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD176129
OR
Other
Enumeration date
03/28/2013
Last updated
10/20/2016
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