Individual
KELSEY OLIVIA COSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2820 WATERFORD LAKE DR, MIDLOTHIAN, VA 23112-3994
(804) 628-4509
(804) 658-4255
Mailing address
2820 WATERFORD LAKE DR, MIDLOTHIAN, VA 23112-3994
(804) 628-4509
(804) 658-4255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A61453348
VA
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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