Kost, Andrew Russell

Kost, Andrew Russell is an individual health care provider with primary practice located at 744 S Webster Ave , Green Bay WI 54301-3505. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Kost, Andrew Russell can be contacted via phone (920) 433-3605.

Contact Information

Primary practice address
744 S Webster Ave Green Bay WI 54301-3505
Phone: (920) 433-3605
Fax: (920) 433-3589
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 208-17 Wisconsin

Profile Details

NPI number 1033861729
LBN Legal business name Kost, Andrew Russell
Credentials CAA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2022
Last updated Jan 24th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1033861729 NPPES
Other 32698074 NATIONAL COMMISSION CERTIFICATION ANESTHESIA ASSTS.

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