Individual
MS. KATHLEEN COSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
100 N MEDICAL DR, PAIN AND SEDATION DEPARTMENT, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Mailing address
100 N MEDICAL DR, PAIN AND SEDATION DEPARTMENT, SALT LAKE CITY, UT 84113-1103
(801) 662-1000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19868284405
UT
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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