Individual
AUDREY M KOST
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 W 22ND ST, PO BX 5046, SIOUX FALLS, SD 57105-1305
(605) 336-3230
(605) 333-5311
Mailing address
28971 447TH AVE, VIBORG, SD 57070-6315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0527
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0527
PA LICENSE NUMBER
SD
Enumeration date
06/16/2006
Last updated
07/08/2007
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