Individual
MRS. KIM KOSSAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 268-5200
(904) 407-6007
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 268-5200
(904) 407-6007
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
ARNP 3025202
FL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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