Individual provider · Type 1 NPI
Kenneth L. Chastek, P.A-C
Medical Physician Assistant · Casper, WY
NPI number
1811094154
Active
Practice location
Employee Health Solutions, 245 South Fenway
Casper, WY 82601
Fax (307) 577-4305
Mailing address
11314 Lake Katherine Cir
Clermont, FL 34711-5003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 642 (AK) |
Medical Physician Assistant: Definition to come...
Other medical physician assistant providers in Casper
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- April Marie Rodriguez, CCMA, CPT, CNAMedical Physician Assistant Casper, WY NPI 1346040870
- Jennifer Lynn Rosics, PA-CMedical Physician Assistant Casper, WY NPI 1356572580
- Lori J. Wortham, PA-CMedical Physician Assistant Casper, WY NPI 1558378372
About NPI 1811094154
Kenneth L. Chastek, P.A-C's National Provider Identifier is 1811094154, issued on Sep 20, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Casper, WY. The record was last updated on Jul 18, 2007.