Individual
MISTY S KOSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1800 MULBERRY STREET, SCRANTON, PA 18510
(570) 703-8084
Mailing address
1800 MULBERRY STREET, SCRANTON, PA 18510
(570) 703-8084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
006578
NY
133V00000X
Registered Dietitian
Primary
963292
PA
Other
Enumeration date
10/16/2008
Last updated
06/03/2019
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