Individual
EASTIN CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1604 AYLWARD AVE, ELLSWORTH, KS 67439-2541
(785) 746-0840
Mailing address
1604 AYLWARD AVE, ELLSWORTH, KS 67439-2541
(785) 746-0840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-09525
KS
Other
Enumeration date
06/07/2018
Last updated
07/26/2021
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