Individual
SHELBY KASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 N ROSENBERGER AVE, EVANSVILLE, IN 47712-6503
(812) 491-3856
Mailing address
3233 RALSTON DR, EVANSVILLE, IN 47715-2049
(606) 209-2157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
Primary
31007567A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
03/29/2016
Last updated
10/21/2021
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