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
Phone: (513) 870-7001
Fax: (513) 603-8174
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386696326 | NPPES |
| Other | P00089914 | RR MEDICARE FAIRFIELD | |
| Other | 000000316070 | RR MEDICARE FAIRFIELD | |
| MEDICAID | 0867941 | RR MEDICARE FAIRFIELD |
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