Individual
SKYLAR MARIE KOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7150 HAMILTON BLVD UNIT 400, TREXLERTOWN, PA 18087-9734
(610) 849-3082
Mailing address
108 CHESWOLD CT, CHESTERBROOK, PA 19087-5628
(610) 849-3082
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA006465
PA
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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