Wagoner, Kosha

Wagoner, Kosha is an individual health care provider with primary practice located at 57 Dora Ln , Greenup KY 41144-1187. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Wagoner, Kosha can be contacted via phone (606) 473-7333.

Contact Information

Primary practice address
57 Dora Ln Greenup KY 41144-1187
Phone: (606) 473-7333
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1306591458
LBN Legal business name Wagoner, Kosha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2022
Last updated Feb 17th, 2022 - 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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