Individual
DR. JOHN JOSEPH KICOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
19810 W CATAWBA AVE, CORNELIUS, NC 28031-4056
(704) 895-3203
(704) 895-3204
Mailing address
19810 W CATAWBA AVE, CORNELIUS, NC 28031-4056
(704) 895-3203
(704) 895-3204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2396
NC
Other
Enumeration date
11/06/2006
Last updated
07/08/2007
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