Individual
AMANDA KOSTRYK
Active
Individual
AMANDA KOSTRYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS024484
PA
207Q00000X
Family Medicine Physician
Primary
OT022441
PA
207R00000X
Internal Medicine Physician
Primary
OT022441
PA
Other
Enumeration date
06/19/2023
Last updated
05/01/2026
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