Chelsey Wilson Kosik, CRNP
Otolaryngology in Dothan, AL. Individual provider (NPI-1).
NPI number1962077958
StatusActive
Last updated in NPPESMay 29, 2024
Details
- NPI
- 1962077958
- Entity type
- Individual (NPI-1)
- Name
- Chelsey Wilson Kosik
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2021
- Certification date
- May 29, 2024
- Last updated
- May 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 169124 | AL | Yes |
Practice location
4550 W Main StDothan, AL 36305-1130
Phone 334-790-7081
Mailing address
4550 W Main St Ste 1Dothan, AL 36305-1130
Phone 334-793-6673
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