Individual
DR. KEVIN PAUL KOLOSTYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9850 GENESEE AVE, SUITE 740, LA JOLLA, CA 92037-1224
(858) 453-3842
Mailing address
9850 GENESEE AVE, SUITE 740, LA JOLLA, CA 92037-1224
(858) 453-3842
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A91624
CA
Other
Enumeration date
09/14/2006
Last updated
03/07/2023
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