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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 1326032624 NPPES
Wisconsin MEDICAID 34623700

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