Individual
JOSEPH W. KASTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5236
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36-600
MS
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
36-600
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119216
—
MS
Enumeration date
07/10/2006
Last updated
08/04/2008
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