Provider Demographics
NPI:1689952939
Name:CASTEEL, CHARLES KEMPE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:KEMPE
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 LAKESHORE DR W
Mailing Address - Street 2:
Mailing Address - City:LAKE QUIVIRA
Mailing Address - State:KS
Mailing Address - Zip Code:66217-8521
Mailing Address - Country:US
Mailing Address - Phone:913-424-2860
Mailing Address - Fax:
Practice Address - Street 1:272 LAKESHORE DR W
Practice Address - Street 2:
Practice Address - City:LAKE QUIVIRA
Practice Address - State:KS
Practice Address - Zip Code:66217-8521
Practice Address - Country:US
Practice Address - Phone:913-424-2860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-03
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-13140208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology