Caster, Dawn Jaclyn

Caster, Dawn Jaclyn is an individual health care provider with primary practice located at 401 E Chestnut St Unit 690 , Louisville KY 40202-5706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Caster, Dawn Jaclyn can be contacted via phone (502) 813-6699.

Contact Information

Primary practice address
401 E Chestnut St Unit 690 Louisville KY 40202-5706
Fax: (502) 588-4771
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42532 Kentucky
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 42532 Kentucky

Profile Details

NPI number 1659402287
LBN Legal business name Caster, Dawn Jaclyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jan 31st, 2024 - about last year

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 1659402287 NPPES
Kentucky MEDICAID 7100088450
Kentucky Other K087400

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