Individual
ALEXANDER DAVID KOSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 587-4404
(502) 587-4156
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 588-0328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
58054
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300079982
—
IN
05
—
7100914360
—
KY
Enumeration date
04/02/2018
Last updated
09/18/2023
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