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NPI Code Detail

MEDICARE: KIMBERLY ANN KASTEN APNP

MEDICARE: KIMBERLY ANN KASTEN APNP
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
1363LF0000XFamily Nurse Practitioner11543WI

General Provider Information

NPI Number : 1508527599
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY ANN KASTEN APNP
Provider Business Mailing Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number :
Provider Business Practice Location Address
First Line : 323 S 18TH AVE
Second Line :
City : STURGEON BAY
State : WI
Zip : 54235-1401
Country : US
Telephone Number : 920-746-0510
Fax Number : 920-743-5526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 03/10/2026

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Directions to “ KIMBERLY ANN KASTEN APNP” Practice Location

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