Provider Demographics
NPI:1740502996
Name:CASPER, ALLISON MARGARET (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:MARGARET
Last Name:CASPER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:MARGARET
Other - Last Name:GORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2232 CHANCELLORS AVE
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68845-2053
Mailing Address - Country:US
Mailing Address - Phone:308-865-2303
Mailing Address - Fax:308-865-2304
Practice Address - Street 1:412 W 42ND ST
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68845-2401
Practice Address - Country:US
Practice Address - Phone:308-865-2303
Practice Address - Fax:308-865-2304
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1819363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1740502996OtherNPI