Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 9800301 | NC |
N | 207YS0123X | Facial Plastic Surgeon | 9800301 | NC |
NPI | 1710958871 |
---|---|
Provider Name | Dr. Shawn D Kosnik |
First Address | Sylva, NC 28779-2616 |
Second Address | Sylva, NC 28779-2616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 05/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2319276 | MEDICARE (01) | NC |
890207R | (05) | NC |