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Contact Information

BEVERLY KOSIK, CRNP
2431 W MAIN ST STE 1102
DOTHAN, AL36301-1250
 Phone: 334-792-1100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for BEVERLY KOSIK · (Female)

NPI Number 1295589778
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 04/12/2024
Last updated 04/12/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-124830
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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