Castillo, Kristen Renee
Castillo, Kristen Renee is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 401 , Las Cruces NM 88011-8261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Castillo, Kristen Renee can be contacted via phone (575) 522-4767.Contact Information
Primary practice address
4351 E Lohman Ave Ste 401
Las Cruces NM 88011-8261
Phone: (575) 522-4767
Fax: (575) 522-3607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2000-155 | New Mexico |
Profile Details
| NPI number | 1396820734 |
|---|---|
| LBN Legal business name | Castillo, Kristen Renee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Sep 8th, 2020 - about 4 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 | 1396820734 | NPPES |
| New Mexico | Other | 600521042 | GROUP PTAN |
| New Mexico | Other | NM002MO7 | GROUP PTAN |
| New Mexico | Other | 202018693 | GROUP PTAN |
| New Mexico | MEDICAID | 66656 | GROUP PTAN |
| New Mexico | Other | 7084476 | GROUP PTAN |
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