Individual
KEVIN CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1214 GLENDORA DR, WICHITA FALLS, TX 76302-1324
(806) 239-1759
Mailing address
1214 GLENDORA DR, WICHITA FALLS, TX 76302-1324
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
852250
TX
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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