Individual
COLEMAN KIDD COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
785 N DEAN RD STE 300, AUBURN, AL 36830-4034
(334) 734-5007
(334) 325-2306
Mailing address
1805 STAPLES CT, AUBURN, AL 36830-2195
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
304344
NY
2084P0800X
Psychiatry Physician
Primary
DO.2720
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
06/28/2024
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