Individual
KATHRYN J KOSTIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12203 N CORPORATE PKWY, MEQUON, WI 53092-3388
(262) 387-8200
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
39904
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32456300
—
WI
01
—
P00671026
RR MEDICARE
WI
Enumeration date
07/05/2006
Last updated
09/02/2025
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