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Individual
ALLEN F KOSSOY
Active
Individual
ALLEN F KOSSOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
05-22557
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
067095
MEDICARE PTAN
KS
05
—
100230840B
—
KS
Enumeration date
08/05/2006
Last updated
06/06/2014
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