NATHANIEL DAVID KOSTICK NPI 1689227886

NPI Information

Nathaniel David Kostick is a mental health counselor in New Brighton, MN with 6 years of experience. Nathaniel David Kostick NPI is 1689227886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1900 SILVER LAKE RD NW
NEW BRIGHTON, MN
ZIP 55112-786
Phone: (651) 628-9566

The NPI 1689227886 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 7/17/2019.

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:

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