Individual
MS. AUGUSTA BLUNDON KOSOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE 101, CHARLESTON, WV 25304-1223
(304) 388-8380
(304) 388-8388
Mailing address
3415 MACCORKLE AVE SE, CHARLESTON, WV 25304-1334
(304) 388-8380
(304) 388-8395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
431
WV
Other
Enumeration date
04/20/2006
Last updated
12/23/2015
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