Individual
KELLY JO KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
1534 MISTY HOLW, NEW BRAUNFELS, TX 78132-2732
(888) 731-8994
Mailing address
112 MAVERICK CT, GRANBURY, TX 76049-1381
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
811550
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306678901
—
TX
Enumeration date
09/05/2012
Last updated
02/18/2025
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