Individual
KIMBERLY KOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
525 CENTURY CT, WYTHEVILLE, VA 24382-1091
(276) 920-1748
Mailing address
525 CENTURY CT, WYTHEVILLE, VA 24382-1091
(276) 920-1748
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
2202003858
VA
Other
Enumeration date
11/18/2016
Last updated
11/18/2016
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