Individual
DR. JAYME NICOLE KASTING LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
641 E SAINT MARY ST, MILTON, WI 53563-3719
(608) 868-4651
(608) 884-4923
Mailing address
1110 NORTH MAIN STREET, EDGERTON, WI 53534-1328
(608) 884-3314
(608) 884-4923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003848A
IN
152W00000X
Optometrist
Primary
3443-35
WI
Other
Enumeration date
06/17/2014
Last updated
08/23/2021
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