Individual
KENNETH BOSSLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Mailing address
1205 FAIRINGTON DR, SIDNEY, OH 45365-8144
(937) 492-8431
(937) 498-5126
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0740578
—
OH
Enumeration date
06/24/2005
Last updated
01/24/2013
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