Individual
KALEN KOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Mailing address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8111
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-124781
AL
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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