Kostelic, Jon K

Kostelic, Jon K is an individual health care provider with primary practice located at 1218 South Broadway Suite 310, Lexington KY 40504-2759. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kostelic, Jon K can be contacted via phone (859) 219-0542.

Contact Information

Primary practice address
1218 South Broadway Suite 310 Lexington KY 40504-2759
Phone: (859) 219-0542
Fax: (859) 219-9433
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 32646 Kentucky
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 32646 Kentucky

Profile Details

NPI number 1700842275
LBN Legal business name Kostelic, Jon K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 22nd, 2017 - about 9 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 1700842275 NPPES
Kentucky MEDICAID 64326465

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