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Contact Information

SAMANTHA L KOSTELAC, FNP
4400 BROADWAY BLVD STE 520
KANSAS CITY, MO64111-3342
 Phone: 816-960-7600
 Fax: 816-960-7699
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Critical Care Medicine

163WC0200X
 

Neuroscience

163WN0800X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for SAMANTHA L KOSTELAC · (Female)

NPI # 1730718867
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 04/01/2020
Last updated 10/24/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 5379596
  • MO License # 2013017085
  • MO License # 2020022341
Hospital affiliation(s)
  • SAINT LUKE'S EAST LEE'S SUMMIT HOSPITAL - (Acute Care)
    100 N E SAINT LUKE'S BOULEVARD
    LEES SUMMIT, MO 64086
  • SAINT LUKE'S SOUTH HOSPITAL - (Acute Care)
    12300 METCALF AVENUE
    OVERLAND PARK, KS 66213
  • ST LUKES HOSPITAL OF KANSAS CITY - (Acute Care)
    4401 WORNALL ROAD
    KANSAS CITY, MO 64111
  • ST LUKES NORTHLAND HOSPITAL - (Acute Care)
    5830 N W BARRY ROAD
    KANSAS CITY, MO 64154
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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