Organization
KICOS CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J KICOS D.C. (OWNER)
(704) 895-3203
Entity
Organization
Contact information
Practice address
19810 W CATAWBA AVE, SUITE B, CORNELIUS, NC 28031-4056
(704) 895-3203
(704) 895-3204
Mailing address
19810 W CATAWBA AVE, SUITE B, CORNELIUS, NC 28031-4056
(704) 895-3203
(704) 895-3204
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2396
NC
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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