Provider Demographics
NPI:1932440955
Name:KASP CONSULTING INC
Entity Type:Organization
Organization Name:KASP CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:K
Authorized Official - Last Name:PANNEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:662-832-6214
Mailing Address - Street 1:1739 UNIVERSITY AVE # 117
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MS
Mailing Address - Zip Code:38655-4109
Mailing Address - Country:US
Mailing Address - Phone:662-836-6214
Mailing Address - Fax:
Practice Address - Street 1:960 AVENT DR
Practice Address - Street 2:UMC GRENADA SENIOR CARE UNIT
Practice Address - City:GRENADA
Practice Address - State:MS
Practice Address - Zip Code:38901-5230
Practice Address - Country:US
Practice Address - Phone:662-227-6528
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-15
Last Update Date:2016-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty