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Individual

DR. WILLIAM ROBERT KOSSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
12100 KENNEDY LN, #206, FREDERICKSBURG, VA 22407-6760
(540) 785-3937
(540) 785-5498
Mailing address
12100 KENNEDY LN, #206, FREDERICKSBURG, VA 22407-6760
(540) 785-3937
(540) 785-5498

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601001281
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09235591
VA
01
17033
AVESIS
VA
01
2150133
FIRST HEALTH
VA
01
32467
MAMSI
VA
01
4091903
AETNA
VA
01
452927
ANTHEM BC/BS
VA
01
6683
DAVIS
VA
01
902137
BLOCK
VA
01
C09338
MEDICARE GROUP
VA
Enumeration date
09/20/2005
Last updated
12/18/2009
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