NPI 1235565888
Melissa K Kossman, PHDLATATC
Practice location
- Address
- 118 College Drive #5122, Hattiesburg, MS 39406-2701
- Phone
- (919) 807-9077
- Mailing address
- 739 E Fordham Dr, Tempe, AZ 85283-1913
Registered specialties (2)
Health Educator
Primary
Athletic Trainer
Registry record
- NPI
- 1235565888
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Sep 2013
- Record last updated
- 17 Nov 2021
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.