Individual
DR. KENNETH L. BOSARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7302D HIGHWAY 613, MOSS POINT, MS 39563-9312
(228) 475-6437
(228) 474-1325
Mailing address
PO BOX 2028, ESCATAWPA, MS 39552-2028
(228) 475-6437
(228) 474-1325
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
867
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5598580
AETNA
MS
Enumeration date
10/04/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us