Provider Demographics
NPI:1962779421
Name:CASTELLANO, VERONICA (PA-C)
Entity type:Individual
Prefix:MS
First Name:VERONICA
Middle Name:
Last Name:CASTELLANO
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:MS
Other - First Name:VERONICA
Other - Middle Name:
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4000 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-945-7858
Mailing Address - Fax:913-945-9410
Practice Address - Street 1:4000 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-8500
Practice Address - Country:US
Practice Address - Phone:913-945-7858
Practice Address - Fax:913-945-9410
Is Sole Proprietor?:No
Enumeration Date:2011-11-28
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS15-01499363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical