Kostka, Kevin

Kostka, Kevin is an sole proprietor health care provider with primary practice located at 1790 Hamill Rd , Hixson TN 37343-4905. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kostka, Kevin can be contacted via phone (423) 842-9322.

Contact Information

Primary practice address
1790 Hamill Rd Hixson TN 37343-4905
Fax: (866) 591-0619
Website:

Health care specialties

Profile Details

NPI number 1265494876
LBN Legal business name Kostka, Kevin
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2006
Last updated Jan 19th, 2015 - about 10 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 1265494876 NPPES
Tennessee Other 4227742 BCBS TENN
Tennessee MEDICAID 3645730 BCBS TENN
Tennessee Other 11822955 BCBS TENN

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