Healthcare Provider Details

I. General information

NPI: 1891793956
Provider Name (Legal Business Name): ROBERT F KASA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2005
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 LEDFORD MILL RD STE B
TULLAHOMA TN
37388-2278
US

IV. Provider business mailing address

127 LEDFORD MILL RD STE B
TULLAHOMA TN
37388-2278
US

V. Phone/Fax

Practice location:
  • Phone: 931-841-3311
  • Fax: 931-841-3314
Mailing address:
  • Phone: 931-841-3311
  • Fax: 931-841-3314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number66822
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number66822
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: