KP Aesthetics, LLC.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

KP AESTHETICS, LLC.

Practice address

4675 W Chester Pike
Newtown Square, PA 19073-2227

Phone

(484) 420-4094

NPI assigned

Nov 1, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Costalas, M.D.

Title

Owner

Phone

(484) 420-4094

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1205348141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732227",
            "telephone_number": "484-420-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 W CHESTER PIKE",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732227",
            "telephone_number": "484-420-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP AESTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "COSTALAS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-420-4094",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Klebanoff
• Joseph William Knox, PH.D.
• Jason David Kohn, DPT
• Kelly Nedelya Kowalchuk, LSW
• Anne Kozicki, COTA/L
• E Michael Kramer, MD
• Joshua Krosskove, CRNP
• Kimberly A Kubek, M.D.
• Cynelle Murray Kunkle, MD
• Caroline Kwon, MD

• Plastic Surgery Physician in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.