Individual
SEAN KASTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
403 N 11TH ST, NELSON CLINIC, 3RD FLOOR, ROOM 304, RICHMOND, VA 23298-5046
(804) 828-0431
Mailing address
403 NORTH 11TH STREET, NELSON CLINIC, 3RD FLOOR, ROOM 304, RICHMOND, VA 23298-0150
(804) 828-0431
Taxonomy
Speciality
Code
Description
License number
State
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
2201000535
VA
237700000X
Hearing Instrument Specialist
2101000859
VA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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