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Individual

SUE C KASTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MS 515, MEMPHIS, TN 38105-3678

Taxonomy

Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
00842
TN
2085R0202X
Diagnostic Radiology Physician
Primary
00842
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125789
MS
05
0071927
MT
05
009914340
AL
05
0528844
IA
05
100448940A
KS
05
104812540
MI
05
132316003
AR
05
1429708
LA
05
200179710A
IN
05
245081906
MO
05
296551509A
GA
05
3303933
TN
05
422400000
ME
05
579146
AZ
05
64926835
KY
05
75557312
CO
05
7612098
NC
Enumeration date
05/23/2005
Last updated
07/22/2021
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