Individual
LAURA H KOSTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(402) 540-7993
Mailing address
915 PRIMROSE CT, HICKMAN, NE 68372-9485
(402) 540-7993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
984
NE
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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