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

Mr. Keith Leotis Cosby Sr.

Individual provider Attendant Care Provider · NPI 1518645936

Mr. Keith Leotis Cosby Sr. is an Attendant Care Provider in Woodruff, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

8937 Theis Dr
Woodruff, WI 54568-9630
Phone: (541) 706-1374
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X · Licence 3747A0650X (WI)

Record details

NPI number1518645936
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 6, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023

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