Organization
KOSSE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARL E KOSSE M.D. (PRESIDENT)
(816) 279-7337
Entity
Organization
Contact information
Practice address
3945 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-7337
Mailing address
3945 SHERMAN AVE, SAINT JOSEPH, MO 64506-3649
(816) 279-7337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD102761
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100153020B
—
KS
05
—
203656905
—
MO
Enumeration date
10/21/2009
Last updated
10/21/2009
Update your record
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