NPI 1093323032

Kevin Boss, LATATC

Practitioner Athletic Trainer Chantilly, VA

Practice location

Address: 4201 Stringfellow Rd, Chantilly, VA 20151-2622
Phone: (703) 222-8170
Mailing address: 320 Baish Dr SE, Leesburg, VA 20175-6149

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Registry record

NPI: 1093323032
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Jul 2020
Record last updated: 27 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.