Individual
DR. KSENIJA KOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
845 N NEW BALLAS CT, DIV NEUROLOGY COMMUNITY, STE 202, SAINT LOUIS, MO 63141-7134
(557) 747-2529
(314) 371-4704
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(557) 747-2529
(314) 371-4704
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2001010352
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205684715
—
MO
Enumeration date
07/24/2006
Last updated
07/07/2026
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