Provider Demographics
NPI:1700455706
Name:HOSTY, CONNOR LUKE (MD)
Entity type:Individual
Prefix:DR
First Name:CONNOR
Middle Name:LUKE
Last Name:HOSTY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:13643 S MUR LEN RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062
Mailing Address - Country:US
Mailing Address - Phone:913-764-3016
Mailing Address - Fax:913-764-8059
Practice Address - Street 1:13643 S MUR LEN RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062
Practice Address - Country:US
Practice Address - Phone:913-764-3016
Practice Address - Fax:913-764-8059
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2021023737208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics