Organization
AKBK
Active
Other names
Crockett Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER PAUL KOSLOSKI CPO, FAAOP (OWNER/PRESIDENT)
(865) 688-2626
Entity
Organization
Contact information
Practice address
4503 WALKER BLVD, KNOXVILLE, TN 37917-1526
(865) 688-2626
(865) 688-3647
Mailing address
4503 WALKER BLVD, KNOXVILLE, TN 37917-1526
(865) 688-2626
(865) 688-3647
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086519
BLUE CROOS BLUE SHEILD
TN
05
—
3555750
—
TN
Enumeration date
08/17/2006
Last updated
03/20/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us