Individual
DR. JACQUELYN LISA KOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
999 FOXON RD, UNITE 8, NORTH BRANFORD, CT 06471
(203) 484-7579
(203) 484-2686
Mailing address
999 FOXON RD, UNITE 8, NORTH BRANFORD, CT 06471
(203) 484-7579
(203) 484-2686
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT000885
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000885CT04
ANTHEM
CT
05
—
4112710
—
CT
01
—
532967
AETNA
CT
01
—
760513
CTCARE OUT OF NETWORK
CT
01
—
948313
HEALTHNET
CT
01
—
P122567
OXFORD
CT
Enumeration date
08/22/2006
Last updated
07/08/2007
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