Individual
KYLE KOSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9122 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 505-9011
Mailing address
9122 NW WINDSOR DR, JOHNSTON, IA 50131-2239
(515) 505-9011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
127959
IA
363LF0000X
Family Nurse Practitioner
Primary
A127959
IA
Other
Enumeration date
05/22/2018
Last updated
01/31/2019
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