Individual
DR. KRISTEN RENEE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4351 E LOHMAN AVE STE 401, LAS CRUCES, NM 88011-8261
(575) 522-4767
(575) 522-3607
Mailing address
4351 E LOHMAN AVE STE 401, LAS CRUCES, NM 88011-8261
(575) 522-4767
(575) 522-3607
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2000-155
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202018693
PRESBYTERIAN
NM
01
—
600521042
GROUP PTAN
NM
05
—
66656
—
NM
01
—
7084476
AETNA
NM
01
—
NM002MO7
BLUECROSS BLUESHEILD
NM
Enumeration date
10/26/2006
Last updated
09/08/2020
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