Provider Demographics
NPI:1275018079
Name:COSSITT, AARON SCOTT (HIS KY#101900)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:SCOTT
Last Name:COSSITT
Suffix:
Gender:M
Credentials:HIS KY#101900
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 N MULBERRY ST STE 180
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-3627
Mailing Address - Country:US
Mailing Address - Phone:270-769-6858
Mailing Address - Fax:270-737-6618
Practice Address - Street 1:950 N MULBERRY ST STE 180
Practice Address - Street 2:
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-3627
Practice Address - Country:US
Practice Address - Phone:270-769-6858
Practice Address - Fax:270-737-6618
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY101900237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist