Individual
WAYNE KOSTOLNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD LDN
Contact information
Practice address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 956-0180
Mailing address
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL, FORT CAMPBELL, KY 42223-5349
(270) 798-8727
(270) 956-0180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000823
NC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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