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KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC. NPI 1265611149


NPI Information

NPI: 1265611149
Provider Name: KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6545 W CENTRAL AVE STE 208
TOLEDO, OH
ZIP 43617
Phone: (419) 843-8888
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KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC. is a specialist in Toledo, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KRIS A. KOSTRZEWSKI M.D./PHD FAMILY PRACTICE LLC. NPI is 1265611149. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6545 W CENTRAL AVE STE 208
TOLEDO, OH
ZIP 43617-034
Phone: (419) 843-8888

The provider's authorized official is Karen Rose Chmielowicz .
The authorized official title is Billing Spervisor and has the following contact phone number (419) 843-8888.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 11/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35071412OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G42672MEDICARE UPINOHIO
22031018MEDICAIDOHIO
30823622MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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