Individual
COLE MITCHELL KOSMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
1029 E SAINT FRANCIS ST, RAPID CITY, SD 57701-5745
(605) 877-4408
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
243794
SD
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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