MEDICARE: KASEY GARRETT MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	183426	CA

General Provider Information

NPI Number	:	1235724816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KASEY GARRETT MD

Provider Business Mailing Address
First Line	:	PSC 557 BOX 162
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96379-0002
Country	:	US
Telephone Number	:	916-838-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 557 BOX 162
Second Line	:
City	:	FPO
State	:	AP
Zip	:	96379-0002
Country	:	US
Telephone Number	:	916-838-1166
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2021
Last Update Date	:	09/23/2025

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