Individual
KAYLEIGH KOSKAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5017 OAK AVE, YOUNGSTOWN, FL 32466-2024
(855) 832-6727
Mailing address
2195 W TENNESSEE ST, APT 14209, TALLAHASSEE, FL 32304-3118
(561) 234-7660
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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