Koster, Kim Richard

Koster, Kim Richard is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Koster, Kim Richard can be contacted via phone (937) 641-3477.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3477
Fax: (937) 641-5410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X K0876 Texas
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 35.141602 Ohio

Profile Details

NPI number 1750347050
LBN Legal business name Koster, Kim Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Oct 13th, 2023 - 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 1750347050 NPPES
Ohio MEDICAID 0449644
Ohio Other 110728614
Ohio MEDICAID 110728613
Ohio Other 8BX292

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