NPI 1295840130 · live from the CMS NPI Registry
Douglas Lee Kosmicki, M.D.
Internal Medicine, Interventional Cardiology in Grand Island, NE. National Provider Identifier 1295840130, active.
NPI record
| NPI | 1295840130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Interventional Cardiology 207RI0011X |
| Practice location | 3515 Richmond Circle, Grand Island, NE 68803 |
| Practice phone | 308-381-8636 |
| Mailing address | 7440 S 91st St, Lincoln, NE 68526 |
| Enumerated | August 20, 2006 |
| Last updated | February 1, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | 24681 (NE) |
| Internal Medicine, Interventional Cardiology primary | 207RI0011X | 24681 (NE) |
| Internal Medicine | 207R00000X | 24681 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.