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Individual
MRS. BEVERLY KAY KASTAN
Active
Individual
MRS. BEVERLY KAY KASTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.S., MLDE.
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
169351
KY
133V00000X
Registered Dietitian
KY0025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10654330662
HUMANA
KY
01
—
176894
ANTHEM BLUE CROSS BLUE SH
KY
Enumeration date
01/16/2007
Last updated
09/25/2023
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