Kostreba, Kelsey
Kostreba, Kelsey is an individual health care provider with primary practice located at 9825 Hospital Dr Ste 105 , Maple Grove MN 55369-4769. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Kostreba, Kelsey can be contacted via phone (763) 780-6699.Contact Information
Primary practice address
9825 Hospital Dr Ste 105
Maple Grove MN 55369-4769
Phone: (763) 780-6699
Fax: (763) 420-0500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 13172 | Minnesota |
Profile Details
| NPI number | 1033753546 |
|---|---|
| LBN Legal business name | Kostreba, Kelsey |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2019 |
| Last updated | Nov 19th, 2019 - about 6 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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