Kos, Ksenija

Kos, Ksenija is an sole proprietor health care provider with primary practice located at 621 S New Ballas Rd Suite 5003 B, St Louis MO 63141. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Kos, Ksenija can be contacted via phone (314) 227-2020.

Contact Information

Primary practice address
621 S New Ballas Rd Suite 5003 B St Louis MO 63141
Fax: (314) 227-2021
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2001010352 Missouri

Profile Details

NPI number 1265454987
LBN Legal business name Kos, Ksenija
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 24th, 2006
Last updated Dec 7th, 2009 - about 16 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 1265454987 NPPES
Missouri MEDICAID 205684715

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