SearchMinnesota183500000X

Kenneth Kossack, RPH

NPI 1720359888 · on the registry since 2012

Practice

Address
18667 Irvine Way
Lakeville, MN 55044
Phone
(952) 469-8507
Fax
(952) 469-8507

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-01-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota