Individual
KIMBERLY J KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 S SILVER LAKE ST STE 102, OCONOMOWOC, WI 53066-3802
(262) 569-7100
(262) 567-6295
Mailing address
970 S SILVER LAKE ST STE 102, OCONOMOWOC, WI 53066-3802
(262) 569-7100
(262) 567-6295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
45326
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34623700
—
WI
Enumeration date
09/01/2005
Last updated
10/09/2012
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