IndividualActive
Kenneth Chastek, P.A-C
NPI 1811094154 · Medical Physician Assistant · Casper, WY
Provider details
- NPI number
- 1811094154
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 642 (AK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Employee Health Solutions
245 South Fenway
Casper, WY 82601
Phone: (307) 577-4300
Fax: (307) 577-4305
Approximate (ZIP-level) locationGet directions
Mailing address
11314 Lake Katherine Cir
Clermont, FL 34711-5003
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.