Provider Demographics
NPI:1831228923
Name:KOST, DONNA BREECH (DC)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:BREECH
Last Name:KOST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1076 DIVISION HWY
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-8819
Mailing Address - Country:US
Mailing Address - Phone:717-733-1635
Mailing Address - Fax:
Practice Address - Street 1:1076 DIVISION HWY
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-8819
Practice Address - Country:US
Practice Address - Phone:717-733-1635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007174L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor