Kostolni, Wayne

Kostolni, Wayne is an individual health care provider with primary practice located at 650 Joel Drive Blanchfield Army Community Hospital, Fort Campbell KY 42223-5349. He recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as his primary health care specialty. Kostolni, Wayne can be contacted via phone (270) 798-8727.

Contact Information

Primary practice address
650 Joel Drive Blanchfield Army Community Hospital Fort Campbell KY 42223-5349
Phone: (270) 798-8727
Fax: (270) 956-0180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L000823 North Carolina

Profile Details

NPI number 1720135809
LBN Legal business name Kostolni, Wayne
Credentials RD LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Jul 8th, 2007 - about 19 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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