Individual provider · Type 1 NPI

Angela Kokoska

Family Nurse Practitioner · Lexington, SC

NPI number 1104312867 Active

Practice location

104 Saluda Pointe Dr
Lexington, SC 29072-7295

Fax (803) 296-9699

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X227482 (SC)
Nurse Practitioner 363L00000X21965 (SC)
Family Nurse Practitioner Primary 363LF0000X21965 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1104312867

Angela Kokoska's National Provider Identifier is 1104312867, issued on Jul 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lexington, SC. The record was last updated on Nov 10, 2021.