Kokoska, Angela

Kokoska, Angela is an individual health care provider with primary practice located at 104 Saluda Pointe Dr , Lexington SC 29072-7295. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kokoska, Angela can be contacted via phone (803) 296-7846.

Contact Information

Primary practice address
104 Saluda Pointe Dr Lexington SC 29072-7295
Phone: (803) 296-7846
Fax: (803) 296-9699
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 227482 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 21965 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21965 South Carolina

Profile Details

NPI number 1104312867
LBN Legal business name Kokoska, Angela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Nov 10th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104312867 NPPES
South Carolina MEDICAID NP5439

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