Individual
ANGELA KOKOSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 SALUDA POINTE DR, LEXINGTON, SC 29072-7295
(803) 296-7846
(803) 296-9699
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227482
SC
363L00000X
Nurse Practitioner
21965
SC
363LF0000X
Family Nurse Practitioner
Primary
21965
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5439
—
SC
Enumeration date
07/06/2018
Last updated
11/10/2021
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