MEDICARE: COSMOSIC POLLARD

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
1	385H00000X	Respite Care		MO

General Provider Information

NPI Number	:	1588518492
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COSMOSIC POLLARD

Provider Business Mailing Address
First Line	:	1409 NE WEDDLE LN
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-3522
Country	:	US
Telephone Number	:	816-590-2616
Fax Number	:

Provider Business Practice Location Address
First Line	:	1409 NE WEDDLE LN
Second Line	:
City	:	LEES SUMMIT
State	:	MO
Zip	:	64086-3522
Country	:	US
Telephone Number	:	816-590-2616
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	02/26/2026

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Directions to “ COSMOSIC POLLARD ” Practice Location

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