Healthcare Provider Details

I. General information

NPI: 1740502996
Provider Name (Legal Business Name): ALLISON MARGARET CASPER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON MARGARET GORMAN

II. Dates (important events)

Enumeration Date: 02/15/2010
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

412 W 42ND ST
KEARNEY NE
68845-2401
US

IV. Provider business mailing address

2232 CHANCELLORS AVE
KEARNEY NE
68845-2053
US

V. Phone/Fax

Practice location:
  • Phone: 308-865-2303
  • Fax: 308-865-2304
Mailing address:
  • Phone: 308-865-2303
  • Fax: 308-865-2304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1819
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: