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
Phone: (423) 842-9322
Fax: (866) 591-0619
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6817 | Tennessee |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1265494876 | NPPES |
Tennessee | Other | 4227742 | BCBS TENN |
Tennessee | MEDICAID | 3645730 | BCBS TENN |
Tennessee | Other | 11822955 | BCBS TENN |
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