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NPI Code Detail

MEDICARE: MRS. CHERYL A KAST PA

MEDICARE: MRS. CHERYL A KAST PA
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
1363A00000XPhysician Assistant005778NY
2363A00000XPhysician AssistantTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962456582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHERYL A KAST PA
Provider Business Mailing Address
First Line : 300 WEST AVE
Second Line :
City : BROCKPORT
State : NY
Zip : 14420-1118
Country : US
Telephone Number : 585-637-3905
Fax Number : 585-637-4990
Provider Business Practice Location Address
First Line : 301 WEST AVE
Second Line :
City : ALBION
State : NY
Zip : 14411-1522
Country : US
Telephone Number : 585-589-5613
Fax Number : 585-589-2375
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 12/17/2013

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Directions to “ MRS. CHERYL A KAST PA” Practice Location

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