Kostelac, Samantha Lynn

Kostelac, Samantha Lynn is an individual health care provider with primary practice located at 4400 Broadway Blvd Ste 520 , Kansas City MO 64111-3342. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Critical Care Medicine, Nursing Service Providers / Neuroscience, Physician Assistants & Advanced Practice Nursing Providers / Family, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kostelac, Samantha Lynn can be contacted via phone (816) 960-7600.

Contact Information

Primary practice address
4400 Broadway Blvd Ste 520 Kansas City MO 64111-3342
Phone: (816) 960-7600
Fax: (816) 960-7699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Critical Care Medicine 163WC0200X 2013017085 Missouri
Nursing Service Providers / Neuroscience 163WN0800X 2013017085 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5379596 Kansas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2020022341 Missouri

Profile Details

NPI number 1730718867
LBN Legal business name Kostelac, Samantha Lynn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2020
Last updated Oct 24th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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