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NPI Code Detail

MEDICARE: KEVIN ANN HOSKINSON

MEDICARE: KEVIN ANN HOSKINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265797757
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN ANN HOSKINSON
Provider Business Mailing Address
First Line : 3568 SKY HAVEN LN
Second Line :
City : OCEANSIDE
State : CA
Zip : 92056-4802
Country : US
Telephone Number : 760-855-6998
Fax Number :
Provider Business Practice Location Address
First Line : 1660 HOTEL CIR N STE 314
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-961-2120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2012
Last Update Date : 07/10/2012

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