DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: KARLY CASTELLAW DO

MEDICARE: KARLY CASTELLAW DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician14201845-1204UT

General Provider Information

NPI Number : 1033811526
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARLY CASTELLAW DO
Provider Business Mailing Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number :
Provider Business Practice Location Address
First Line : 475 W 940 N
Second Line :
City : PROVO
State : UT
Zip : 84604-3301
Country : US
Telephone Number : 801-357-7930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2023
Last Update Date : 03/31/2026

Similar Medicare Providers

1760598411 — DR. NICOLE ANNE CLARK MD
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax:
1376648212 — DR. ROBERT ANDREW MEHL D.O.
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax:
1558404426 — IHC HEALTH SERVICES, INC
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax: 801-442-0653
1043421936 — TYSON DEKORSE M.D.
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7940
Practice Fax:
1326242967 — ROBERT ANDERSON EDD
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax: 801-357-7927
1174713424 — DR. JEREMY MCCANDLESS M.D.
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax: 801-357-7927
1457549263 — SARAH ELIZABETH DALY DO
Practice Location Address:
475 W 940 N
PROVO, UT
84604-3301
Practice Phone: 801-357-7930
Practice Fax: 801-357-7014

Directions to “ KARLY CASTELLAW DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.