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Fred Kasper, IDC — NPI 1629382957, Gulfport, MS | NPI Central

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NPI 1629382957

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Fred Kasper, IDC

NPI 1629382957 · Military Health Care Provider · Gulfport, MS

Provider details

NPI number: 1629382957
Entity type: Individual
Primary specialty: Military Health Care ProviderOther Service Providers
Credential: IDC
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Military Health Care ProviderPrimary171000000X
Other Service Providers

Practice location

5501 Marvin Shields Blvd

Gulfport, MS 39501-9007

Phone: (228) 822-5748

Approximate (ZIP-level) locationGet directions

More MS providers

Mailing address

2317 Lynn Ave

Gulfport, MS 39503-3644

Registry dates

Enumerated: 2010-07-28
Last updated: 2010-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.