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Individual

KEVIN KOSTKA

Active
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Individual

KEVIN KOSTKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6817
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11822955
CAQH
TN
05
3645730
TN
01
4227742
BCBS TENN
TN
Enumeration date
04/06/2006
Last updated
01/19/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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