Grant, Walter Kastler

Grant, Walter Kastler is an individual health care provider with primary practice located at 920 Tommy Munro Dr , Biloxi MS 39532-2150. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Grant, Walter Kastler can be contacted via phone (228) 396-8101.

Contact Information

Primary practice address
920 Tommy Munro Dr Biloxi MS 39532-2150
Phone: (228) 396-8101
Fax: (601) 496-8101
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 29157 Alabama
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 14991 Mississippi

Profile Details

NPI number 1710092077
LBN Legal business name Grant, Walter Kastler
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Apr 6th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710092077 NPPES
Mississippi MEDICAID 00116939

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