Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HALEY D KOSTECKI, PA
ActiveHALEY D KOSTECKI, PA is a Physician Assistant healthcare provider located in DONGOLA, Illinois. NPI 1457721532 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DONGOLA, IL
Registration Details
- NPI Number
- 1457721532
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 1, 2015 (10.864291363876 yrs)
- Last Updated
- Apr 25, 2016
- License
-
085.005612 (IL)
Practice Information
- Address
-
318 US HIGHWAY 51 NDONGOLA, IL, 629261103Browse IL providers · Browse ZIP 62926
- Phone
- 6188273545
- Fax
- 6188334891
- Primary Specialty
-
Physician Assistant
363A00000X
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.