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Individual
OLENA KOSTYUK
Active
Individual
OLENA KOSTYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
01096462A
IN
208000000X
Pediatrics Physician
01096462A
IN
208000000X
Pediatrics Physician
MD047247
DC
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
01096462A
IN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
39701
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
08/28/2026
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