Provider Demographics
NPI:1265314363
Name:KASTER, MATTHEW (RD, LD)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:KASTER
Suffix:
Gender:M
Credentials:RD, LD
Other - Prefix:
Other - First Name:MATT
Other - Middle Name:
Other - Last Name:KASTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:220 N MOONGLOW LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-7080
Mailing Address - Country:US
Mailing Address - Phone:502-275-8154
Mailing Address - Fax:
Practice Address - Street 1:25 CONLEY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6477
Practice Address - Country:US
Practice Address - Phone:573-442-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered