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Individual

KASSANDRA VALERIE KASPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2280 IVY RD, CHARLOTTESVILLE, VA 22903-4977
(434) 924-2663
Mailing address
2280 IVY RD, CHARLOTTESVILLE, VA 22903-4977
(434) 924-2663

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-13407
NC
363A00000X
Physician Assistant
Primary
0110010735
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0010-13407
LICENASE
NC
01
0110010735
LICENSE
VA
Enumeration date
07/28/2023
Last updated
05/15/2026
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