Kathleen Kostas NP

NPI 1770778292 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1770778292
Gender Female
Enumeration Date 09/07/2007
Last Updated 09/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3601 W. 13 MILE RD
ROYAL OAK MI, 48073-6769, US
Phone (248) 423-2481
Fax
Business Location
3601 W. 13 MILE RD
400 FSC
ROYAL OAK MI, 48073-6769, US
Phone (248) 423-2481
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Michigan
License Number 4704124756
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According to our database, Kathleen Kostas NP NPI is 1770778292, taxonomy code is 363L00000X and license number is 4704124756, license state is located at Michigan. Kathleen Kostas NP physically located at 3601 W. 13 Mile Rd, Royal Oak MI, 48073-6769. NPI Number Kathleen Kostas NP has the Individual type.

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1770778292 NPI number is provided on an as is basis without warranty of any kind. 1770778292 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Kostas NP are for informational purposes only.