Individual
PAUL LEO KOSTMAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1952 KORNMAN DR, BILOXI, MS 39532-2002
(228) 547-4338
Mailing address
1952 KORNMAN DR, BILOXI, MS 39532-2002
(228) 547-4338
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
R852057
MS
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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