Individual
KIMBERLY A KOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
11 HOPI LN, TIOGA, PA 16946-8683
(716) 397-1620
Mailing address
11 HOPI LN, TIOGA, PA 16946-8683
(716) 397-1620
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
RT004885
PA
Other
Enumeration date
08/12/2014
Last updated
08/12/2014
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