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NPI Code Detail

MEDICARE: CAROL JANE KOSECK MD

MEDICARE: CAROL JANE KOSECK MD
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
12084P0800XPsychiatry PhysicianR79432AZ
22084P0800XPsychiatry Physician14275545-1205UT

General Provider Information

NPI Number : 1700521382
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL JANE KOSECK MD
Provider Business Mailing Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-6648
Fax Number : 520-874-7539
Provider Business Practice Location Address
First Line : 2800 E AJO WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85713-6204
Country : US
Telephone Number : 520-874-6648
Fax Number : 520-874-7539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2022
Last Update Date : 04/14/2026

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Directions to “ CAROL JANE KOSECK MD” Practice Location

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