Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 4351031887 | UT |
Y | 213ES0000X | Sports Medicine | 4351031887 | UT |
NPI | 1184073785 |
---|---|
Provider Name | Dr. Kimberly Sheree Casten |
First Address | Spanish Fork, UT 84660-1396 |
Second Address | Spanish Fork, UT 84660-1396 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2016 |
Last Update Date | 24/11/2021 |