Castleberry, Kevin Daniel

Castleberry, Kevin Daniel is an sole proprietor health care provider with primary practice located at 560 Mill St , Green Lake WI 54941. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Castleberry, Kevin Daniel can be contacted via phone (920) 294-6790.

Contact Information

Primary practice address
560 Mill St Green Lake WI 54941
Phone: (920) 294-6790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7284-15 Wisconsin

Profile Details

NPI number 1366857146
LBN Legal business name Castleberry, Kevin Daniel
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2014
Last updated May 16th, 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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