Individual
KARA BOSHER DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
205 HENRY ST, ASHLAND, VA 23005
(804) 752-3041
(804) 752-3776
Mailing address
PO BOX 5005, ASHLAND, VA 23005-5505
(804) 752-3041
(804) 752-3776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710951819
—
VA
Enumeration date
02/15/2006
Last updated
02/27/2015
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