Individual
DR. KIM RICHARD KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CHILDRENS PLZ, DAYTON, OH 45404-1815
(937) 641-3477
(937) 641-5410
Mailing address
PO BOX 933432, CLEVELAND, OH 44193-0039
(937) 641-3000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
K0876
TX
207LP3000X
Pediatric Anesthesiology Physician
Primary
35.141602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449644
—
OH
05
—
110728613
—
TX
01
—
110728614
CSHCN
TX
01
—
8BX292
BCBS TX
—
Enumeration date
04/25/2006
Last updated
10/13/2023
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