Provider Demographics
NPI:1417027665
Name:HASSLER, KI M (DO)
Entity Type:Individual
Prefix:MRS
First Name:KI
Middle Name:M
Last Name:HASSLER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1215 JACARANDA BLVD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34292-4520
Mailing Address - Country:US
Mailing Address - Phone:941-451-8282
Mailing Address - Fax:941-451-8434
Practice Address - Street 1:1215 JACARANDA BLVD
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292
Practice Address - Country:US
Practice Address - Phone:941-451-8282
Practice Address - Fax:941-451-8434
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS8522207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease