Provider Demographics
NPI:1851304828
Name:KOST-RIOS, KAREN (DPM)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:KOST-RIOS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:RIOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:100 HITCHCOCK WAY
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4125
Mailing Address - Country:US
Mailing Address - Phone:603-695-2998
Mailing Address - Fax:603-629-1833
Practice Address - Street 1:100 HITCHCOCK WAY
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-4125
Practice Address - Country:US
Practice Address - Phone:603-695-2500
Practice Address - Fax:603-629-1833
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH269213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008397Medicaid
NH30008397Medicaid
NHRE3458Medicare PIN