Provider Demographics
NPI:1265493654
Name:KASPAR, KILE RENEE (DC)
Entity Type:Individual
Prefix:DR
First Name:KILE
Middle Name:RENEE
Last Name:KASPAR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11023 JOHNSON DR
Mailing Address - Street 2:
Mailing Address - City:SHAWNEE
Mailing Address - State:KS
Mailing Address - Zip Code:66203-2831
Mailing Address - Country:US
Mailing Address - Phone:913-962-6063
Mailing Address - Fax:913-962-0794
Practice Address - Street 1:10912 W 74TH TER
Practice Address - Street 2:
Practice Address - City:SHAWNEE
Practice Address - State:KS
Practice Address - Zip Code:66203-4420
Practice Address - Country:US
Practice Address - Phone:913-962-6063
Practice Address - Fax:913-962-0794
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2022-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS29802016OtherBCBS
KS29802016OtherBCBS
KSU88549Medicare UPIN