Individual
DR. JOHN HERRINGTON KOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7488
Mailing address
3688 VETERANS MEMORIAL DR, SUITE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2010-00801
NC
207X00000X
Orthopaedic Surgery Physician
T1810
MS
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
21148
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NC
Enumeration date
06/04/2007
Last updated
07/27/2011
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