MEDICARE: JAMES D KASTEN MD INC

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
1	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1609988062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES D KASTEN MD INC

Provider Business Mailing Address
First Line	:	278 BENEDICT AVE
Second Line	:	SUITE 500
City	:	NORWALK
State	:	OH
Zip	:	44857-2399
Country	:	US
Telephone Number	:	419-668-2686
Fax Number	:	419-663-6637

Provider Business Practice Location Address
First Line	:	278 BENEDICT AVE
Second Line	:	SUITE 500
City	:	NORWALK
State	:	OH
Zip	:	44857-2399
Country	:	US
Telephone Number	:	419-668-2686
Fax Number	:	419-663-6637

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES D KASTEN
Credential	:	MD
Telephone Number	:	419-668-2686

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/24/2011

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