Pamela A Kososki, LA.C, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

937-55 Issued in WI

Practice address

1011 N Lynndale Dr Ste 1B
Appleton, WI 54914-3091

Phone

(920) 422-4910

Fax

(920) 358-7005

NPI assigned

Jan 15, 2013

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1144567736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N LYNNDALE DR STE 1B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143091",
            "telephone_number": "920-422-4910",
            "fax_number": "920-358-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N LYNNDALE DR STE 1B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549143091",
            "telephone_number": "920-422-4910",
            "fax_number": "920-358-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOSKI",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LA.C, LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "11973-146",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "937-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna May Kornaus
• Casie L Korth, PT
• Kathryn Ann Korth, O.D., F.A.A.O.
• Bonnie Anne Korytkowski, DO
• Leslie Koser
• Shannon L Koss, PAC
• Amanda Anne Kossak, M.D.
• Karyne Kosterman, SAC-IT
• Katelyn Rose Kotkosky, LPC
• Rochelle A Kottke, LCSW

• Acupuncturist in Appleton, WI
• Providers in Appleton, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.