Kurt D Kastendieck
Family Doctor
421 Saint Michaels Dr
Santa Fe
, New Mexico 87505-7601
Kurt D Kastendieck
Family Doctor
421 Saint Michaels Dr
Santa Fe
, New Mexico 87505-7601
(505) 992-1998
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Kurt D Kastendieck
- 421 Saint Michaels Dr
- Santa Fe, NM
- Zip : 87505-7601
- Fax : (505) 992-1998
- Phone : (505) 992-3334
Second Address
- Kurt D Kastendieck
- 421 Saint Michaels Dr
- Santa Fe, NM
- Zip : 87505-7601
- Fax : (505) 992-1998
- Phone : (505) 992-3334
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Is Kurt D Kastendieck a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 200152 | NM |
National Provider Identifier
| NPI | 1003804923 |
|---|---|
| Provider Name | Kurt D Kastendieck |
| First Address | Santa Fe, NM 87505-7601 |
| Second Address | Santa Fe, NM 87505-7601 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2005 |
| Last Update Date | 16/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F1927 | (05) | NM |
| H45888 | (02) | NM |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.