Organization
SPINE CLINIC, LLC
Active
Other names
Cosens Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS BRENT COSENS SR. D.C. (OWNER/PROVIDER)
(620) 223-2990
Entity
Organization
Contact information
Practice address
15 N MAIN ST, FORT SCOTT, KS 66701-1410
(620) 223-2990
(620) 223-2991
Mailing address
PO BOX 589, FORT SCOTT, KS 66701-0589
(620) 223-2990
(620) 223-2991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
01-05329
KS
111N00000X
Chiropractor
2010013287
MO
Other
Enumeration date
09/22/2010
Last updated
03/14/2013
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