| NPI | 1144767344 |
|---|---|
| Former Name | KELLY D KASTING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007550A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28209377A) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2023-08-16 |