Most Relevant Information
Provider Data
| NPI Number: | 1003209743 |
| Provider Name: | KASEY ALAN THRUSH |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | T62050193310 |
Most Important Dates
| Enumeration Date: | 03/05/2015 |
| Last Updated: | 03/05/2015 |
Provider Practice Location
507 E IRVING ST
MILFORD
IL
609531141
Practice Location Phone/Fax
| Phone: | 8155924936 |
| Fax: |
Provider Mailing Location
507 E IRVING STREET
MILFORD
IL
60953
Provider Mailing Phone/Fax
| Phone: | 8155924936 |
| Fax: |