Individual
DR. MARK A KOSSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1459 SAND HILL RD, OFFICE 618, CANDLER, NC 28715-8943
(828) 670-8810
(828) 670-8816
Mailing address
1459 SAND HILL RD, OFFICE 618, CANDLER, NC 28715-8943
(828) 670-8810
(828) 670-8816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
237443
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
036721
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3634832
—
TN
Enumeration date
09/27/2005
Last updated
11/17/2010
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