Provider Demographics
NPI:1568923993
Name:KOSTER, AARON TODD (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:TODD
Last Name:KOSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ST. LUKE'S HOSPITAL
Mailing Address - Street 2:4401 WORNALL ROAD
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-932-2107
Mailing Address - Fax:816-932-2843
Practice Address - Street 1:ST. LUKE'S HOSPITAL
Practice Address - Street 2:4401 WORNALL ROAD
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111
Practice Address - Country:US
Practice Address - Phone:816-932-2107
Practice Address - Fax:816-932-2843
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
KY58055207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program