Individual provider · Type 1 NPI

Tyla-Ann Marie Kosmicki

Student in an Organized Health Care Education/Training Program · Canton, MO

NPI number 1679383772 Active

Practice location

1 College Hl
Canton, MO 63435-1257

Call (573) 288-6000 Map

Mailing address

604 N 12th St Apt 1
Canton, MO 63435-1071

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679383772

Tyla-Ann Marie Kosmicki's National Provider Identifier is 1679383772, issued on Jan 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Canton, MO. The record was last updated on Jan 10, 2025.