Individual
KELLY A KASTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-5632
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6798
WI
367500000X
Certified Registered Nurse Anesthetist
R 168018-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44393600
—
WI
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00639254
RAILROAD MEDICARE
MN
Enumeration date
04/25/2008
Last updated
09/05/2024
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