Individual
DR. KENNETH FRANK BOSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2365 WALL ST SE STE 120, CONYERS, GA 30013-2197
(770) 922-8187
(770) 922-9107
Mailing address
2365 WALL ST SE, SUITE 120, CONYERS, GA 30013-2197
(770) 922-8187
(770) 922-9107
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR005124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194100370
GROUP NPI
—
Enumeration date
12/19/2006
Last updated
06/02/2023
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