Individual
TANYA CASTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4201 ANDERSON AVE, BLDG C, MANHATTAN, KS 66503-7602
(785) 539-3504
(785) 539-8597
Mailing address
4201 ANDERSON AVE, BLDG C, MANHATTAN, KS 66503-7602
(785) 539-3504
(785) 539-8597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200405210A
—
KS
Enumeration date
09/28/2006
Last updated
08/12/2015
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