Individual
DR. JERROLD E COSSETTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S SANTA FE AVE, SUITE 200, SALINA, KS 67401-4190
(785) 823-7225
(785) 823-1017
Mailing address
520 S SANTA FE AVE, SUITE 200, SALINA, KS 67401-4190
(785) 823-7225
(785) 827-4433
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0416727
KS
207Y00000X
Otolaryngology Physician
Primary
0416727
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194360A
—
KS
Enumeration date
02/17/2006
Last updated
04/12/2021
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