Individual
DR. SHANE RYAN KOKOSZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7695 CHURCH RANCH BLVD, SUITE 200, WESTMINSTER, CO 80021-5544
(303) 635-2273
(303) 635-1225
Mailing address
3220 W 62ND AVE, DENVER, CO 80221-1907
(303) 635-2273
(303) 635-1225
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5110
CO
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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