Healthcare Provider Details

I. General information

NPI: 1841934015
Provider Name (Legal Business Name): ASHLEY NICOLE KASTNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY JAMISON

II. Dates (important events)

Enumeration Date: 04/25/2022
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 N KENTUCKY AVE
WEST PLAINS MO
65775-2029
US

IV. Provider business mailing address

10617 STATE ROUTE 17
WEST PLAINS MO
65775-5715
US

V. Phone/Fax

Practice location:
  • Phone: 417-256-9111
  • Fax:
Mailing address:
  • Phone: 417-274-3975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number2022018521
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: