Most Relevant Information
Provider Data
| NPI Number: | 1003310608 |
| Provider Name: | KALEB AFSHAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/20/2018 |
| Last Updated: | 09/27/2022 |
Provider Practice Location
3801 S NATIONAL AVE
SPRINGFIELD
MO
658075210
Practice Location Phone/Fax
| Phone: | 4172694550 |
| Fax: |
Provider Mailing Location
1000 E PRIMROSE ST STE 520
SPRINGFIELD
MO
658075180
Provider Mailing Phone/Fax
| Phone: | 4172311331 |
| Fax: |