Provider Demographics
NPI:1871820365
Name:SASSER, KASEY L (CNC)
Entity Type:Individual
Prefix:
First Name:KASEY
Middle Name:L
Last Name:SASSER
Suffix:
Gender:F
Credentials:CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 RED RIVER DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-6018
Mailing Address - Country:US
Mailing Address - Phone:832-401-4983
Mailing Address - Fax:
Practice Address - Street 1:7311 RED RIVER DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-6018
Practice Address - Country:US
Practice Address - Phone:832-401-4983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist