Individual
KAITLYN KOSTYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.T.(R)(M)
Contact information
Practice address
5300 N MEADOWS DR STE 2900, GROVE CITY, OH 43123-2546
(613) 663-2936
Mailing address
4651 IVERNESS DR, COLUMBUS, OH 43228-4588
(440) 668-3160
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
1010156
OH
2471M2300X
Mammography Radiologic Technologist
Primary
1010156
OH
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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