Individual
MICHAEL KOSTENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
(253) 968-0117
Mailing address
6600 VAN AALST BLVD, FORT BENNING, GA 31905-2102
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
33779
NE
Other
Enumeration date
02/03/2020
Last updated
05/11/2026
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