NPI 1033861729

Andrew Russell Kost, CAA

Practitioner Anesthesiologist Assistant Green Bay, WI

Practice location

Address: 744 S Webster Ave, Green Bay, WI 54301-3505
Phone: (920) 433-3605
Fax: (920) 433-3589
Mailing address: PO Box 22487, Green Bay, WI 54305-2487

Registered specialties

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 208-17 (WI)

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Registry record

NPI: 1033861729
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jan 2022
Record last updated: 24 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.