Provider Demographics
NPI:1023665775
Name:MOSKO, KIRSTEN (AUD)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:
Last Name:MOSKO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:R
Other - Last Name:MOSKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7502 STATE RD STE 4400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2801
Mailing Address - Country:US
Mailing Address - Phone:513-624-2450
Mailing Address - Fax:
Practice Address - Street 1:7502 STATE RD STE 4400
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2801
Practice Address - Country:US
Practice Address - Phone:513-624-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001947231H00000X
OH000281398231H00000X
OHA.02234231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist