Individual
DOUGLAS EARL KAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 751-5814
(575) 737-3387
Mailing address
1397 WEIMER RD, TAOS, NM 87571-6253
(575) 613-3283
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
CNP-03206
NM
363LF0000X
Family Nurse Practitioner
Primary
CNP-03206
NM
Other
Enumeration date
04/06/2017
Last updated
07/27/2022
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