Healthcare Provider Details

I. General information

NPI: 1922935352
Provider Name (Legal Business Name): TAYLA CATHERINE KOSOWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BUTLER DR
PROVIDENCE RI
02906-4862
US

IV. Provider business mailing address

100 BUTLER DR
PROVIDENCE RI
02906-4862
US

V. Phone/Fax

Practice location:
  • Phone: 401-681-4996
  • Fax: 401-921-6569
Mailing address:
  • Phone: 401-681-4996
  • Fax: 401-921-6569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: