Individual
DR. CHERYL KOSCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
(859) 572-2326
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301094517
MI
207P00000X
Emergency Medicine Physician
Primary
47759
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201296990
—
IN
05
—
7100356160
—
KY
Enumeration date
07/17/2009
Last updated
11/16/2015
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