Kostopoulos, Kimon Alexander
Kostopoulos, Kimon Alexander is an individual health care provider with primary practice located at 825 Town Center Drive Suite 152, Langhorne PA 19047-3030. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kostopoulos, Kimon Alexander can be contacted via phone (215) 741-3510.Contact Information
Primary practice address
825 Town Center Drive Suite 152
Langhorne PA 19047-3030
Phone: (215) 741-3510
Fax: (215) 741-3519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | OS012128 | Pennsylvania |
Profile Details
| NPI number | 1609813880 |
|---|---|
| LBN Legal business name | Kostopoulos, Kimon Alexander |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Feb 25th, 2013 - about 12 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 | 1609813880 | NPPES |
| Pennsylvania | MEDICAID | 0019054860003 |
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