Individual
RONALD J. KOSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3700 SOUTHERN BLVD STE 101, KETTERING, OH 45429-1226
(937) 281-3810
(937) 281-3812
Mailing address
PO BOX 713100, SALT LAKE CITY, UT 84171-3100
(801) 930-3842
(866) 588-2820
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35130569
OH
2085R0001X
Radiation Oncology Physician
MD070743L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018952570001
—
PA
05
—
3810011126
—
WV
Enumeration date
09/14/2005
Last updated
07/21/2022
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