Provider Demographics
NPI:1659864221
Name:JASCHEN, KYLE STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:STEVEN
Last Name:JASCHEN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:USA MEDDAC-AK
Mailing Address - Street 2:ATTN: MCUC-MMD-QM (CREDENTIALS) 1060 GAFFNEY RD. #7440
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:99703-7440
Mailing Address - Country:US
Mailing Address - Phone:907-361-6028
Mailing Address - Fax:
Practice Address - Street 1:BASSETT ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:4076 NEELY ROAD, BLDG 4076, ROOM 3C-401, FT. WAINWRIGHT
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:99703-7440
Practice Address - Country:US
Practice Address - Phone:907-361-6028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-08
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AK195953207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine