Individual
HEATHER KOSTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1628 E PAGE AVE, MALVERN, AR 72104-4524
(501) 332-4437
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L44298
AR
Other
Enumeration date
05/09/2007
Last updated
06/08/2011
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