Provider Demographics
NPI:1831487149
Name:KASTEN, KIMBERLY CHATWOOD (DC)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:CHATWOOD
Last Name:KASTEN
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 1:226 ELK AVE
Mailing Address - Street 2:BOX 2330
Mailing Address - City:CRESTED BUTTE
Mailing Address - State:CO
Mailing Address - Zip Code:81224
Mailing Address - Country:US
Mailing Address - Phone:970-349-7474
Mailing Address - Fax:970-349-7021
Practice Address - Street 1:226 ELK AVE
Practice Address - Street 2:
Practice Address - City:CRESTED BUTTE
Practice Address - State:CO
Practice Address - Zip Code:81224
Practice Address - Country:US
Practice Address - Phone:970-349-7474
Practice Address - Fax:970-349-7021
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5526111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor