Provider Demographics
NPI:1073752465
Name:KASTENS, GINGER ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:ANN
Last Name:KASTENS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12490 QUIVIRA RD APT 1316
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-2411
Mailing Address - Country:US
Mailing Address - Phone:816-805-2818
Mailing Address - Fax:
Practice Address - Street 1:11960 W 119TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66213-2216
Practice Address - Country:US
Practice Address - Phone:913-322-1020
Practice Address - Fax:913-345-9259
Is Sole Proprietor?:No
Enumeration Date:2009-02-09
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05243111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor