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Individual

STEPHANIE MICHELLE KOST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 800-5393
(702) 388-8431
Mailing address
10624 S EASTERN AVE # A-955, HENDERSON, NV 89052-2982
(702) 388-8431

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2917
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1811488315
NV
Enumeration date
05/21/2018
Last updated
08/02/2024
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