Individual
NATHAN MICHAEL KOSSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3511 JEAN ST, FAIRFAX, VA 22030-2303
(517) 442-4786
Mailing address
3511 JEAN ST, FAIRFAX, VA 22030-2303
(517) 442-4786
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2022
Last updated
02/25/2025
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