Individual
JOHN JOSEPH CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2093 MEDICAL ARTS DRIVE, HEBRON, KY 41048
(859) 442-6600
(859) 442-6601
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 442-6600
(859) 442-6601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32239
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080084551
RAILROAD MEDICARE
KY
05
—
0829867
—
OH
05
—
200407420
—
IN
05
—
64322399
—
KY
Enumeration date
04/14/2006
Last updated
09/07/2018
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