Kaitlyn Kostyo, R.T.(R)(M)

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

License

1010156 Issued in OH

Practice address

5300 N Meadows Dr Ste 2900
Grove City, OH 43123-2546

Phone

(613) 663-2936

NPI assigned

Dec 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1376310383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 IVERNESS DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432284588",
            "telephone_number": "440-668-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 N MEADOWS DR STE 2900",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232546",
            "telephone_number": "613-663-2936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSTYO",
        "first_name": "KAITLYN",
        "credential": "R.T.(R)(M)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "OH",
            "license": "1010156",
            "primary": false
        },
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "OH",
            "license": "1010156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Klingler, FNP-C
• Jeremy Knapp, LPN
• Deena Marie Knight, LPN
• Beth A Knouff, RN
• Roy Charles Korth, D.C.
• Megan Kottman, D.D.S
• Paul Anton Kovach, M.D.
• Kelly Kozman
• Mary H Kravitz, PA
• Angela C Kritsch

• Radiologic Technologist in Grove City, OH
• Providers in Grove City, OH by specialty
• Radiologic Technologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.