Individual
JENNIFER B. KOSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2320 BATH ST STE 113, SANTA BARBARA, CA 93105-4377
(805) 682-7984
Mailing address
2320 BATH ST STE 208, SANTA BARBARA, CA 93105-5322
(805) 682-7984
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A107461
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A1074610
BS OF CA
CA
05
—
0A1074610
—
CA
05
—
1215129184
—
CA
Enumeration date
08/15/2007
Last updated
07/18/2013
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