Individual
KELSEY ALANA KOSMADAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1431 MCHENRY AVE STE 100, MODESTO, CA 95350-4534
(209) 574-5905
(209) 579-1948
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 795-3619
(408) 287-0405
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030055
CA
Other
Enumeration date
06/27/2014
Last updated
01/11/2022
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