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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ANDREW KOSTELNIK, PHARMD, BCPS

Active

MARK ANDREW KOSTELNIK, PHARMD, BCPS is a 1835C0207X healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1013220730 is currently active in the NPPES registry. Verify at CMS.

1835C0207X · FAYETTEVILLE, AR

Registration Details

NPI Number
1013220730
Provider Type
Individual
Gender
Male
NPI Issued
Jul 22, 2010 (16.021002706367 yrs)
Last Updated
Apr 11, 2023
Licenses
14707 (OK)
PD14410 (AR)

Practice Information

Address
375 E MILLSAP RD STE 3
FAYETTEVILLE, AR, 727036289
Browse AR providers · Browse ZIP 72703
Phone
9188097822
Fax
4794456032
Primary Specialty
1835C0207X
1835C0207X
Additional Specialty
1835C0207X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.