# KOS CHIROPRACTIC CENTER DC PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790980175
- **Authorized official:** MS. JACQUELYN L. KOS DC (PRESIDENT)
- **Authorized official phone:** (203) 484-7579

## Contact information

- **Practice address:** 999 FOXON ROAD SUITE 8, NORTH BRANFORD, CT 06471
- **Practice address phone:** (203) 484-7579
- **Practice address fax:** (203) 484-2686
- **Mailing address:** 999 FOXON RD, UNIT 8, NORTH BRANFORD, CT 06471-1287
- **Mailing address phone:** (203) 484-7579
- **Mailing address fax:** (203) 484-2686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | CT000885 | CT | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 08/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050000885CT04 | ANTHEM | CT |
| 05 | — | 4112710 | — | CT |
| 01 | — | 532967 | AETNA | CT |
| 01 | — | 631506 | CTCARE | CT |
| 01 | — | 948313 | HEALTHNET | CT |
| 01 | — | P1227567 | OXFORD | CT |