Individual
KYLIE CASTANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2144
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2144
ARIZONA LICENSE NUMBER
AZ
01
—
OPT.0003449
COLORADO LICENSE NUMBER
CO
Enumeration date
07/20/2016
Last updated
03/27/2024
Update your record
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