Individual
JAMIE LYNN KASTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
505 POPE AVE, MUNSON ARMY HEALTH CENTER (ATTN: MCXN-COD, MR. KENNEDY, FORT LEAVENWORTH, KS 66027-2332
(913) 684-6143
(913) 684-6208
Mailing address
906 9TH AVE, LEAVENWORTH, KS 66048-3648
(361) 232-0946
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-37909-71
KS
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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