Individual
KELSEY KOSSL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 BROADWAY FL 4, NEW YORK, NY 10006-1978
(212) 263-9700
Mailing address
1176 5TH AVE FL 9, NEW YORK, NY 10029-6503
(212) 241-8578
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
299906
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2015
Last updated
11/05/2021
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