Individual
MICHAEL R KOSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1594
Mailing address
292 HOLSTEIN ROAD, GULPH MILLS, PA 19428
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH013418L
PA
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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