Individual
DR. RAYMOND STEPHEN KOCIOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, MS, ATC
Contact information
Practice address
181 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 900-4030
(270) 900-0489
Mailing address
181 TOWNE DR, ELIZABETHTOWN, KY 42701-8460
(270) 900-4030
(270) 900-0489
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5599
KY
2255A2300X
Athletic Trainer
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100599360
—
KY
Enumeration date
11/06/2017
Last updated
10/06/2022
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