Provider Demographics
NPI:1538323316
Name:KASTEN, DEREK MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:DEREK
Middle Name:MICHAEL
Last Name:KASTEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:959 MERRIMON AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2353
Mailing Address - Country:US
Mailing Address - Phone:828-505-1584
Mailing Address - Fax:828-505-8967
Practice Address - Street 1:959 MERRIMON AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2353
Practice Address - Country:US
Practice Address - Phone:828-505-1584
Practice Address - Fax:828-505-8967
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002391A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor