Individual
KEVIN BOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
4201 STRINGFELLOW RD, CHANTILLY, VA 20151-2622
(703) 222-8170
Mailing address
320 BAISH DR SE, LEESBURG, VA 20175-6149
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
VA
Other
Enumeration date
07/15/2020
Last updated
11/27/2023
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