FRED E. KASPER IDC – NPI #1629382957
Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

FRED KASPER is a military health care provider located in GULFPORT, MS. NPPES has assigned the NPI number 1629382957 to FRED KASPER on July 28, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 171000000X from the Health Care Provider Taxonomy code set, which is classified as Military Health Care Provider.

See the complete NPI profile for FRED KASPER below.

NPI Profile for
FRED E. KASPER

NPI Number
1629382957
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
FRED E. KASPER
Credentials
IDC
Primary location
5501 MARVIN SHIELDS BLVD
GULFPORT, MS 39501-9007
Phone: (228) 822-5748 Fax:
Mailing address
2317 LYNN AVE
GULFPORT, MS 39503-3644
Phone: (228) 206-4918 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
171000000X
- Military Health Care Provider (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.