Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kiley Cosgrove

Individual provider Nurse Practitioner · NPI 1073265518

Kiley Cosgrove is a Nurse Practitioner in Athens, Ohio. Qualified in 2021, 5 years ago. Practices with Holzer Clinic LLC, a 264-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2022
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Practice location Address checks out

55 Hospital Dr
Athens, OH 45701-2302
Phone: (740) 593-5991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN.CNP.0030220 (OH)

Record details

NPI number1073265518
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing addressPo Box 390, Huntington, WV 25708-0390

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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