Individual
KONSTANTINOS KOSSIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
711 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3439
(859) 331-3353
(859) 331-3326
Mailing address
PO BOX 636324, CINCINNATI, OH 45263-6324
(859) 331-3353
(859) 331-3326
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
01093098A
IN
207RC0000X
Cardiovascular Disease Physician
2020012896
MO
207RC0000X
Cardiovascular Disease Physician
58701
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
01093098A
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
2020012896
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
58701
KY
Other
Enumeration date
04/21/2009
Last updated
12/17/2025
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