MEDICARE: MAX JOSEF KOSS

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	208600000X	Surgery Physician	94-12698	KS

General Provider Information

NPI Number	:	1619819190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAX JOSEF KOSS

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD # MS 2005
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-5000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD # MS 2005
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-8500
Country	:	US
Telephone Number	:	913-588-5000
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	06/04/2026

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