Individual
MS. BEVERLY KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2431 W MAIN ST STE 1102, DOTHAN, AL 36301-1250
(334) 792-1100
Mailing address
107 MONTEZUMA AVE, DOTHAN, AL 36303-3907
(334) 448-1803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1-124830
AL
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1-124830
AL
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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