Koster, Kenneth H

Koster, Kenneth H is an individual health care provider with primary practice located at 3000 Mack Rd , Fairfield OH 45014-5335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koster, Kenneth H can be contacted via phone (513) 870-7001.

Contact Information

Primary practice address
3000 Mack Rd Fairfield OH 45014-5335
Fax: (513) 603-8174
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35051968K Ohio

Profile Details

NPI number 1386696326
LBN Legal business name Koster, Kenneth H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Oct 18th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386696326 NPPES
Other P00089914 RR MEDICARE FAIRFIELD
Other 000000316070 RR MEDICARE FAIRFIELD
MEDICAID 0867941 RR MEDICARE FAIRFIELD

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