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Individual

DR. CRAIG EDWARD KOSHLAP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
17775 W 106TH ST, STE 105, OLATHE, KS 66061-3197
(913) 890-7370
(913) 890-7372
Mailing address
17775 W 106TH ST, STE 105, OLATHE, KS 66061-3197
(913) 890-7370
(913) 890-7372

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2004020267
MO
111N00000X
Chiropractor
Primary
4897
KS
111N00000X
Chiropractor
CH 8111
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
34120027
BLUE CROSS BLUE SHIELD
MO
Enumeration date
12/21/2006
Last updated
07/21/2016
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