Castellon, Kerryn

Castellon, Kerryn is an individual health care provider with primary practice located at 55 Sudderth St , Buford GA 30518-3335. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Eye and Vision Services Providers / Optician. Eye and Vision Services Providers / Optician is her primary health care specialty. Castellon, Kerryn can be contacted via phone (678) 458-5095.

Contact Information

Primary practice address
55 Sudderth St Buford GA 30518-3335
Phone: (678) 458-5095
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X Georgia
Eye and Vision Services Providers / Optician 156FX1800X LDO002538 Georgia

Profile Details

NPI number 1255818993
LBN Legal business name Castellon, Kerryn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2018
Last updated Jul 25th, 2018 - about 6 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 1255818993 NPPES
Georgia MEDICAID 824147685

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