Provider Demographics
NPI:1245543990
Name:KASTNING, APRIL S (PA-C)
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:S
Last Name:KASTNING
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 E PICKARD ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858
Mailing Address - Country:US
Mailing Address - Phone:989-775-1610
Mailing Address - Fax:989-775-1640
Practice Address - Street 1:4851 E PICKARD ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2078
Practice Address - Country:US
Practice Address - Phone:989-775-1610
Practice Address - Fax:989-775-1640
Is Sole Proprietor?:No
Enumeration Date:2010-07-23
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0153700430OtherBLUE CROSS BLUE SHIELD
MI0153700430OtherPA LICENSE
MIM17400043Medicare PIN