Individual
MRS. BEVERLY KAY KASTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., M.S., MLDE.
Contact information
Practice address
5802 BRITTANY VALLEY RD, LOUISVILLE, KY 40222-5904
(502) 891-0360
(502) 891-0360
Mailing address
5802 BRITTANY VALLEY RD, LOUISVILLE, KY 40222-5904
(502) 891-0360
(502) 891-0360
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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