Kostyo, Rebecca Jo

Kostyo, Rebecca Jo is an individual health care provider with primary practice located at 4130 Dutchmans Ln Ste 300, Louisville KY 40207-4713. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kostyo, Rebecca Jo can be contacted via phone (502) 897-1794.

Contact Information

Primary practice address
4130 Dutchmans Ln Ste 300 Louisville KY 40207-4713
Phone: (502) 897-1794
Fax: (502) 238-1286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004449 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71006195A Indiana

Profile Details

NPI number 1023172673
LBN Legal business name Kostyo, Rebecca Jo
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Apr 28th, 2016 - about 10 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 1023172673 NPPES
Indiana MEDICAID 201289910
Indiana Other 000000641811
Indiana Other 000052152Z
Indiana MEDICAID 7100099350
Indiana Other 3764310000
Indiana Other 000000643662
Indiana Other 110584
Indiana Other 50027236
Indiana Other 9769702

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