Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | ME70657 | FL |
NPI | 1003823972 |
---|---|
Provider Name | Dr. Katherine A Kosche |
First Address | Pembroke Pines, FL 33026 |
Second Address | Pembroke Pines, FL 33026 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 09/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
254195800 | (05) | FL |
31985W | PTAN (01) | FL |
F28299 | (02) |