Individual
AMANDA MEAGAN KOSSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MFN
Contact information
Practice address
3600 W BROAD ST, RICHMOND, VA 23230-4915
(804) 585-6723
Mailing address
9137 POLO PONY CT, MECHANICSVILLE, VA 23116-3178
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
224Y00000X
Clinical Exercise Physiologist
Primary
—
VA
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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