NPI | 1194012922 |
---|---|
Former Name | LINDSEY ANN KOST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant Medical (Licence: PA MA054936) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA OA002676) |
Enumeration Date | 2011-06-30 |
Last Update Date | 2015-04-14 |