Kosmadakis, Kelsey Alana

Kosmadakis, Kelsey Alana is an individual health care provider with primary practice located at 1431 Mchenry Ave Ste 100 , Modesto CA 95350-4534. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kosmadakis, Kelsey Alana can be contacted via phone (209) 574-5905.

Contact Information

Primary practice address
1431 Mchenry Ave Ste 100 Modesto CA 95350-4534
Phone: (209) 574-5905
Fax: (209) 579-1948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95030055 California

Profile Details

NPI number 1437564457
LBN Legal business name Kosmadakis, Kelsey Alana
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2014
Last updated Jan 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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