Kastner, Kimberly J
Kastner, Kimberly J is an individual health care provider with primary practice located at 970 S Silver Lake St Ste 102 , Oconomowoc WI 53066-3802. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kastner, Kimberly J can be contacted via phone (262) 569-7100.Contact Information
Primary practice address
970 S Silver Lake St Ste 102
Oconomowoc WI 53066-3802
Phone: (262) 569-7100
Fax: (262) 567-6295
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 45326 | Wisconsin |
Profile Details
| NPI number | 1326032624 |
|---|---|
| LBN Legal business name | Kastner, Kimberly J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2005 |
| Last updated | Oct 9th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326032624 | NPPES |
| Wisconsin | MEDICAID | 34623700 |
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