Individual
MRS. MAMIE M KOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 320-2450
Mailing address
100 WILBURN WAY, STARKVILLE, MS 39759-3692
(662) 320-4008
(662) 320-2450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872464
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05676593
—
MS
Enumeration date
09/06/2011
Last updated
02/24/2016
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