Individual
DR. DAWN JACLYN CASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 813-6699
(502) 588-4771
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 589-4856
(502) 589-5093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
42532
KY
207RN0300X
Nephrology Physician
Primary
42532
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088450
—
KY
01
—
K087400
MEDICARE
KY
Enumeration date
03/07/2007
Last updated
01/31/2024
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