Individual
ANTHONY F KOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRS
Contact information
Practice address
2121 W 117TH ST, CLEVELAND, OH 44111-1642
(216) 417-4831
Mailing address
3630 W 139TH ST, CLEVELAND, OH 44111-3348
(216) 702-2111
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
0003102
OH
Other
Enumeration date
03/23/2022
Last updated
05/23/2023
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